School Name where pertinent, otherwise list as Independent, Home Schooler, etc
School Name (required)
School Email (required)
School Phone (required)
School Postal Address (required)
Principal's Name(required)
Are you a new School? (required)
YesNo
Name (required)
Home Phone (required)
Mobile Phone
Email (required)
Mailing Address
Are you a new Coach? (required)
Please identify which workshop you wish to attend
—Please choose an option—AucklandChristchurchHawkes BayOther Area - if sufficient interest
If you chose "Other" please identify preferred area
Are you are a teacher, a student, a parent or other?
TeacherStudentParentOther
If you chose "Other" please indicate in what way you are interested
If you are a student please advise your year level & coach's name
Number of participants(required)
Name of participant(s) at $170 plus GST each
Future Problem Solving NZ
