Course Registration

Please complete the form below to register for upcoming courses
Required fields are marked with an *

* Course

Course Date

Your Centre/Institution

* Postal Address

1 - First Name

1 - Last Name

1 - Meals

Non-vegetarian

Vegetarian

Gluten free

2 - First Name

2 - Last Name

2 - Meals

Non-vegetarian

Vegetarian

Gluten free

3 - First Name

3 - Last Name

3 - Meals

Non-vegetarian

Vegetarian

Gluten free

* Contact Person

Email

Phone

Fax

Total payment

Paid by

Direct Credit
BNZ 02 0630 0432035 00
Use your name/centre in reference field

Cheque
Ripples Administrator
Massey Child Care Centre
Private Bag 11-222
Palmerston North 4471

Is an invoice required?

Yes

No

* Enter the image code

* denotes required field

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7:45 am - 5:15 pm
Monday - Friday

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