Enrolment Form - Wairarapa College Community Education

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Enrolment form
Please fill out all * required fields

Code No.	Class Name:	Cost: $
Code No.	Class Name:	Cost: $
Code No.	Class Name:	Cost: $
Code No.	Class Name:	Cost: $
Please make a note of the total cost. We will confirm the total amount outstanding in our confirmation email.		Total: $


Last name:*
First names:*
Addresss:*
Home Phone No.
Work Phone No.
Email Address:*

Ethnic Group:*	Please choose from below Maori NZ European/Pakeha Asian Polynesian Other
Age Group:*
Comments:

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