Programme Registration - Hillary Outdoors

Programme Registration Form

Please register your interest in our Programmes by completing this form.

Choose a Hillary Outdoors Centre*
School/Organisation name:*
Name of primary contact:*
First Last
Contact email address:*
Enter Email Confirm Email
Preferred phone number:*
Programme length
Preferred arrival date:
DD slash MM slash YYYY
Number of students:*
Year level/age of students:*
Preferred focus area/learning outcomes:
Anything else you'd like us to know?
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