Registration form

Registration and participation is FREE.
To register complete the online registration form below or print an offline registration form and send/fax it to us.
Only one registration per school is needed.

Information provided is used to keep you up-to-date with related information about the Water Matters Connection. It is also used to help us improve our educational resources.
Click here to read World Vision's privacy policy.

Please register our school for the Water Matters Connection.
All fields marked * are required to complete this registration.

School name:  *
School mailing address:  *
Suburb/Area:
Town/City:  *
Country:  *
(if other, please specify)  *
 
No. of classes involved:  *
Use numerals, estimate if unknown
 
No. of students participating:  *
Use numerals, estimate if unknown
 
Year(s) involved: * (primary)
  (primary)
    (intermediate)
  (secondary)
  (secondary)
  Year 1 is the first year of school in New Zealand.
 
When will you use the Connection? * Please select the Term(s)
 
 
Where did you hear about this?  *
Contact: Our contact person for further communication is:
 
Contact name:  *
Position in school:
Phone:  *
Fax:  *
Email (1):  *
If you would like more than 1 person to receive email updates please enter additional email addresses.
Email (2):
Email (3):
Email (4):