Participant Registration

Welcome, and thank you for completing registration to secure your place on this Te Karanga experience!  
Any information that you enter here will be shared only with agencies that require this information in order to make travel and accommodation arrangements.
Feel free to contact us if you have any questions at tekaranganyc@gmail.com.

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* 1. Your full name (as it appears on your passport)

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* 2. Date of Birth (mm/dd/yyyy)

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* 3. Your postal address

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* 4. Your email address

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* 5. The phone number we are most likely to reach you on

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* 6. What is your nationality as shown on the passport that you will travel with?

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* 7. What is the expiration date of the passport that you will travel with?

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* 8. Do you have any drug, food, or other allergies?  Please also list any food restrictions ( e.g. gluten free)

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* 9. Do you have any medical conditions or health issues of which we should be aware?  
If you prefer, you could email us at tekaranganyc@gmail.com and we will call you to discuss.

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* 10. Your emergency contact

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