Tikanga Youth Exchange 2016 Registration Form

28 November-05 December, St Christopher's Home, Nakasi & Suva, Fiji

If flying to/from Nadi, transport will be arranged to depart Nadi for Suva, 1PM 28 November, and return, Suva to Nadi, at the conclusion of TYE by 10AM, 5 December. You will need to book flights to fit these times (including allowing at least 2 hours for check-in).

Pick-up/Drop-off can be arranged from Nausori/Suva Airport anytime on 28 November/5 December.

If travelling from overseas, you will need, and we urge you, to organise and cover your own Travel Insurance.

A $50 Registration Fee and endorsement by your Tikanga Youth Coordinator is required to confirm your registration.

Cheques can be made out to 'Anglican Church General Synod' and mailed to:

PO Box 87-188, Meadowbank, Auckland 1742, New Zealand.

The registration fee can be paid by direct credit to:

Account Name: Anglican Church General Synod
Account Number: 02-0192-0130001-04

Enter your surname and 'TYE 2016' in the particulars for reference

If you are under 18, you will need to be accompanied by a supervising leader from your Tikanga (1 leader to 8 attendees under 18). We will send you a parental consent form once you have filled out and submitted the form below.

Email karlina@t3.org.nz with any questions. Registrations close 30 September.

Name

First Name

Last Name

Your Role

Diocese/Amorangi/Tikanga

Age

Gender

Male

Female

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Email Address

Have you been endorsed by your Tikanga Youth Coordinator?

Your Tikanga Youth Coordinator / National Youth Advisor / Ringa Arataki will have to confirm your name to us before we can accept your registration.

Select Box if Yes

How are you paying your Registration Fee?

To help us know how and where to expect your payment, select either the Direct Credit (Depositing in our Bank Account) or Cheque (Paying by Cheque) options:

Direct Credit (Depositing into our Bank Account)

Cheque (Sending a cheque by mail)

What size t-shirt do you wear?

Click to open the menu and select your size

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

Medical/Dietary Needs

Please list any medical issues and/or allergies we need to be aware of or particular dietary needs for catering purposes:

Travel - Own Arrangements

Arrival Details (If you are flying please state what airport you will arrive at (Nadi or Nausori), your flight number & arrival time)

Departure Details (If you are flying please state what airport you will depart from (Nadi or Nausori), your flight number & departure time)