Adventure Guides - Application

I enrol for the following module:
Rock Challenge Rope Course Kayak Bush Facilitation
Personal Details
First Name:
Last Name:
I like to be called:
Gender:	Male Female
Date of Birth:
Nationality:
Contact Details
Street:
Suburb:
City:
State:
Zip Code:
Country:
Email:
Home Phone:
Mobile Phone:
Fax:
Experience
Give details of any experience and/or qualifications in activity relevant to the course:

Medical Information
Please list any medical conditions and/or recent injuries:

Please list any medication you take regulary:

Emergency Contact
Contact Name:
Contact Address:
Contact Phone:
Comments or Message
Message:


	"No worries" is not just a phrase, but a state of mind.

More Pages to this section...

Overview

We Respect Your Privacy
To view our privacy information, please click here.
(Opens a new window)

Adventure Training New Zealand

Postal Address

PO Box 19-940
Christchurch
New Zealand

Phone

0064 3 3840384

Fax

0064 3 3840334

Email

info@adventuretrainingnz.com


	Fact File William Hamilton, a Canterbury farmer, developed and perfected the propellerless jet boat based on the principle of water jet propulsion. Following this, Hamilton went on to invent the hay-lift, an advanced air compressor, an advanced air conditioner, a machine to smooth ice on skating ponds; the water sprinkler and also contributed to the improvements of hydro-power.