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Family Name: |
First Name: |
Affiliation: |
Address: |
| Country (if not NZ): |
Email Address: |
Are you a student (yes/no): |
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Registration for Summer School (yes/no): |
| Will you travel on the provided bus (yes/no): |
Are you happy to share a room (yes/no): |
If sharing, you may indicate with whom: |
Are you bringing family members (yes/no): |
Dietary or other requirements: |
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Registration for Hands-On Workshop (yes/no): |
| Do you need help finding accommodation in Auckland (yes/no): |
Do you bring your own laptop (yes/no): |
If yes, which operating system: |
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(Optional) Comments or questions: |