Registration Form Name * First Name Last Name Email * Gender * Male Female Other Date of Birth * MM DD YYYY Phone (###) ### #### Address * Do you need a bike? Electric or road * Height for bike rental Emergency Contact name and number and relationship * Room Requirements - one or two beds, name of roommate * Other Requirements (Dietary, Allergy, etc. ) Passport Number * Passport Issuing Country * Passport Expiration Date * MM DD YYYY Nationality * Any Medical Conditions or Disabilities * Medications Taken on a Regular Basis * Do You need additional nights in Christchurch or Queenstown- Specify Would you like a quote for Travel Insurance? Additional Requirements Thank you!Someone will be in touch shortly Once we receive your form, we will send an invoice for the deposit.Thank you for signing up.
