Contact Information

Passport Number

Passport Issue Date

Passport Expiry Date

Email Address

Phone Number

Emergency Contact Information

Phone Number

Golf Link Number

Medical Information

Please indicate if N/A

Medical Condition and Medication/Allergies/Dietary Requirements

Cost

Payment Schedule

List your preference of Continental Breakfast for your first morning

Please include type of cereal, milk etc. preferred

What is your drink preference?

Please give us details of your choice of either wine (which grape) , beer, cider, soft drink or sparkling water etc

Queenstown 2024 Registration Form