makarrata wild !!!

Registration Form :

outdoor & wilderness expeditions
adventurous & challenging activities

Jesus said: “I have come in order that you might have life – life in all its fullness”
(John 10:10)

Mission statement: to provide Spirit-filled Christian fellowship and discipleship
via enjoyable outdoor activities for youth, young adults and families

makarata wild !!!
PO Box 114
Montville 4560

BACK TO HOMEPAGE

name


date of bith

email


address


phone numbers


Trip Registering for?


deposit amount


PAYMENT METHOD

cheque

electronic transfer (contact makarrata for account)

credit card

CREDIT CARD DETAILS

name

Card type


card number

expiry date


MEDICAL INFORMATION

medications

allergies

health problems

EMERGENCY CONTACT

name

phone

 

It’s time you did something wild !!!


65 Mill Hill Rd Montville 4556 Phone: 5478-5226 Fax: 5478-5221