Registration Form Your Name (required) Your Email (required) Age (required) under 1313-1819 - 2526-4041 - 65over 65 Address (required) Town/City (required) Telephone (required) Country - if you are coming from overseas Which ticket option do you want?Full WeekPer Night "If you selected the per night option, please indicate which consecutive nights you will be staying (minimum two nights)" 8 January 2021 (Friday night)9 January 2021 (Saturday night)10 January 2021 (Sunday night)11 January 2021 (Monday night)12 January 2021 (Tuesday night)13 January 2021 (Wednesday night) Accommodation Request - Please select one accommodation option. Daily/night ticket is Camping Only while Full Week ticket gives the option of Camping or Shared Bunk Rooms. (required) CampingShared Bunk Room Age Group (required)AdultYoung Adult (18 - 25 yrs)Child (6 - 17 yrs) Attendee Details Involvement at CampKey Role HolderKaiāwhinaDance ParticipantMusicianDance LeaderWorkshop FacilitatorStall HolderService Provider (massage/healer) Dietary NeedsGluten-FreeDairy-FreeNut or other medical allergies (avocado, onion, etc) Other information or requests
