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E-Form

If you'd like to register for camp electronically, please fill out the form below. Note that we cannot accept credit card payments using this form. The basic idea is that you'd need to

  • Fill out the form
  • Deposit payment for camp into our bank account

Our bank account details are as follows:
Nelson Bays Israeli Folk Dancing
ANZ bank Motueka branch
Account number: 117426-0008933-00

Please make sure that any payments to our account are identified with your name so that we know who the payment has come from

Note that fields with a * must be filled in.

First Name*:  

Surname*:  

Email Address*:  
If the email address above is not correct, we will not be able to respond to your message.

Postal Addresss*:

Home Phone*:  

Cell Phone:  

Gender Male Female

Full Early Bird Registration (includes lunches and suppers, please order your evening meal below) $135.00
Note that Early Bird registration closes on 1st June. After that, registration will be $150.00

Meals
Saturday Dinner ($22.50)Yes No
Sunday Dinner ($22.50)Yes No

If you are not enrolled in the full camp, do you want...
Saturday Lunch ($8.00)Yes No
Sunday Lunch ($8.00)Yes No

Media and Resources
CD($25.00)Yes No
DVD($32.00)Yes No

T-Shirt ($25.00)Yes No

Size
S      M      L      XL      XXL     

StyleLoose (traditional) Fitted

Total Payment

Date Paid

Anything else we should know? (Comments):

We've been receiving spam through this website. To help us combat this problem, please type in the name of the city where dance camp is being held this year. Remember to use a capital for the first letter.  

Please register by 20th August

Please be aware that if you cancel your attendance before 20th July you will be refunded in full. However, if you cancel between 21st of July and the 19th of August we may have to charge a 20% cancellation fee. Unless you have a serious reason any cancellation after 20th of August will not be refunded.
Sorry, NO eftpos or credit cards at the camp.

Any queries, don’t hesitate to contact us:
Cherie McDonald - shircherie@xtra.co.nz . Ph: 03 5286200 or 0210393534
Marcia Malthus - marciamalthus@clear.net.nz