New Member Registration

Section A - Delegate's details(Please do not use block capitals)

Name(as it will appear on your ID)

 

Address

Institution

Contact DetailsPlease enter phone numbers using international format, e.g. +64 9 123 4567

Special Requirements, if any

DIET

Section B - You and your privacy

Section C - Conference Registration Fee

NZSA / ASA Members
Early Bird
Standard
Consultant / Fellow
NZ$ 950.00 Early Bird
NZ$ 1095.00 Standard
Registrar
NZ$ 750.00 Early Bird
NZ$ 795.00 Standard
Non-Member
Early Bird
Standard
Consultant / Fellow
NZ$ 1095.00 Early Bird
NZ$ 1195.00 Standard
Registrar
NZ$ 805.00 Early Bird
NZ$ 850.00 Standard
Technician / Nurse / allied health
NZ$ 600.00 Early Bird
NZ$ 645.00 Standard

 

Section D — Conference Activities

Thursday, 19 August 2021

AQUA Registration and Welcome Function 17:00-19:00
Number attending
0.00

Friday, 20 August 2021

Bus to Coronet Peak - Friday
Friday bus to Coronet Peak for skiing & BBQ - total no of tickets - inc your own - departs at 12.30
0.00
Friday bus to Coronet Peak - BBQ only - total no of tickets - inc your own - departs at 17.00
0.00
AQUA BBQ Coronet Peak Friday
Delegate AQUA BBQ Ticket
0.00
Additional Ticket - Adult - Regular
0.00
Additional Ticket - Adult - Vegetarian
0.00
Additional Ticket - Adult - GF/Coeliac
0.00
Additional Ticket - Youth (5-14 years) - Regular
0.00
Additional Ticket - Youth (5-14 years) - Vegetarian
0.00
Additional Ticket - Youth (5-14 years) - GF / Coeliac
0.00
Delegate Packed Lunch (Friday)
Delegate Packed Lunch (Friday) Regular
0.00
Delegate Packed Lunch (Friday) Vegetarian
0.00
Delegate Packed Lunch (Friday) GF / Coeliac
0.00
Additional Packed Lunch - Friday
Additional Packed Lunch - Regular
0.00
Additional Packed Lunch - Vegetarian
0.00
Additional Packed Lunch - GF / Coeliac
0.00
Workshops (Friday PM) Full
Anaphylaxis Workshop (APx2) 14.45-16.15
Fully Booked

Saturday, 21 August 2021

AQUA Conference Dinner - Skyline Restaurant Saturday
Delegate Conference Dinner Ticket
0.00
Additional Ticket - Adult - Regular
0.00
Additional Ticket - Adult - Vegetarian
0.00
Additional Ticket - Adult - GF/Coeliac
0.00
Additional Ticket - Youth (5-14 years) - Regular
0.00
Additional Ticket - Youth (5-14 years) - Vegetarian
0.00
Additional Ticket - Youth (5-14 years) - GF / Coeliac
0.00
Bus to Conference Dinner - departs heritage at 17.45 Saturday
0.00
Bus to Coronet Peak - Saturday
Saturday bus to Coronet Peak - total no of tickets - inc your own - departs at 12.30pm
0.00
Delegate Packed Lunch - Saturday
Delegate Packed Lunch (Saturday) - Regular
0.00
Delegate Packed Lunch (Saturday) - Vegetarian
0.00
Delegate packed Lunch (Saturday) GF/Coeliac
0.00
Additional Packed Lunch - Saturday
Additional Packed Lunch - Regular
0.00
Additional Packed Lunch - Vegetarian
0.00
Additional Packed Lunch - GF / Coeliac
0.00
Workshops (Saturday PM)
ACLS Workshop (ACLS2) 14.45-16.15
0.00
TOTAL FOR SOCIAL PROGRAMME
$0.00

Section E — Cancellation Policy

All cancellations must be notified in writing to the AQUA Organising Committee at: joanne@pem.co.nz  The refund will be issued after AQUA.

Refund for cancellation of registration will be made and subject to the following deadline and administrative charge:

On or before: 19 October 2021:  Full refund less a $NZ100 cancellation fee.

Between 19 October and 5 November: Refund will be issued, less a cancellation fee of 50% of the registration rate.

Cancellation after 5 November 2021: No refund applicable.

If AQUA is cancelled due to Covid-19 and/or government imposed lockdown:  Full refunds will be processed.