Come to Conference!

Name *

First Name

Last Name

Phone number *

(###)

###

####

Gender *

Male

Female

Gender diverse

T-shirt size *

XS

S

M

L

XL

2XL

Do you have any dietary requirements? *

Please detail below

Yes

No

Do you have any medical needs we should know about? *

Please detail below

Yes

No

We can provide a transfer service from the airport or bus stop for $5 each way. Please indicate if you would like this service *

Details of exact time and meeting points will be sent out after you register. Please see our conference transport page for travel advice and our recommendations (www.sadd.org.nz/conference-travel)

Pick up from Christchurch Airport on 13th April

Pick up from Lichfield Street Intercity Bus stop on 13th April

Drop off to Christchurch Airport on 15th April

Drop off to Lichfield Street Intercity Bus stop on 15th April

I'm not sure yet but I may need to add this later

I don't need any transfers

Who is paying your registration fee? *

Please name the person who has arranged your funding

A SADD staff member has offered me funding (please enter their name in box below)

A Community Partner (e.g. Road Safety Coordinator) has offered me funding (please enter their name in box below)

My school is paying (please enter teacher name and email in box below)

I would like to pay by credit card

I am a National Leader/Regional Leader/MAR member

Other (please detail below)

Parent/Guardian name *

First Name

Last Name

How long have you been involved with SADD? *

This is my first year

1 year

2 years

3+ years

How did you find out about conference? *

If applicable, please enter name of person who referred you in box below

I attended a Term 1 workshop or SADD visited my school

I was referred by a National Leader/Regional Leader

I heard through my school

Social media

SADD website

Other

I have read the terms and conditions for registering for conference and the rules for the event and understand these *

Accept