B School Application - New Zealand

To apply for the Christchurch B School - January 21st - 27th, 2018, please complete this form. For any enquiries please contact fhchristchurch@yahoo.co.nz

To be held at: Rochester and Rutherford Hall, 77 Ilam Road, Christchurch, New Zealand
Speakers: Mark Head & Frank Naea

All applicants must have attended a Fatherheart Ministries 'A' School prior to attending a 'B' School

The school registration fee is NZ$625 (including GST).
The registration fee includes all tuition, lunch Monday - Saturday, evening meals Sunday - Friday, tea + coffee etc.

A non-refundable deposit of NZ$125 is required per person with an application.

A bed and breakfast accommodation option is available in local homes at NZ$180 for the school (6 nights)

Special diets - Our caterers are able to provide Gluten free, Dairy free or Vegetarian meal options for no additional cost.

Registration will be between 4pm and 5:30pm on the Sunday. Please register between these times. Dinner starts at 6pm and the first school session starts at 7pm.

Please note that all sessions must be attended. Each session builds on those previous to it. This is a continuous message throughout the week that requires full attendance.

This school is for those 18 years and over. It is not appropriate for children and there is no childcare available.

Please read the Terms and Conditions page before filling out this online form: Terms & Conditions
January 21st - 27th, 2018, Christchurch B School
- Contact Information -
First Name*
Last Name*
City / Town*
Email Address*
Phone Number*
Date of Birth DD/MM/YYYY*
Gender (Male / Female)*
Marital Status
Upload your photo here

Uploading Files

Please upload a photo from your computer to add to your school application.
- Your A School details-
1. Please give the date and location of the A school you attended*
2. Who led the A school you attended?*
- General -
1. How did you hear about the school?*
2. What is reason / motivation for wanting to attend this B School?*
3. What changes / breakthroughs do you hope to see in your life after attending the school?*
- Medical Health -
1.Do you have any special needs / requirements, or special dietary requirements which we need to be aware of in order to facilitate your attendance at the school? (Dietary requirements for medical reasons only)
2.Do you suffer from any health conditions or illnesses which it would be helpful for us to be aware of ? ( eg heart trouble, epilepsy, asthma, allergies etc) If so, are you on any special medication related to those conditions?
3. Are you under psychiatric care or counselling? (Please describe).
4. Do you take any medication for mental or emotional needs? (Please specify)
5. How would you rate your health?*
- Medical Insurance -
We recommend all those attending this school who are not New Zealand citizens, should have medical insurance.
- Emergency Contact -
In case of any problems during your stay, please provide the address , phone and email of an emergency contact and their relationship to you. This person must not be attending the school with you.
Phone Number (Including Country code)*
What is their relationship to you?*
- Accomodation Package -
We are able to provide comfortable billeted accommodation in local homes at a cost of NZ$180.00 per person for 6 nights, This is on a bed and breakfast basis only. Due to limited availability it is on a 'first in' basis, and it is highly possible you may be asked to share a room. Married couples will be allocated either double or twin rooms.
Accomodation Package*
Accommodation - Do you suffer from any pet allergies? If so please state what they are
- Special Diet meal options
If you require a special diet, please select here. (multiple options available)
1. Gluten free
2. Dairy free
3. Vegetarian
- Information verification and release of liability -
I agree to release Fatherheart Ministries, its staff, agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss sustained by myself during the course of involvement with Fatherheart Ministries.*
I agree
- Attendance -
I understand I must attend all sessions of the school*
I understand
I certify that all the information in this application is complete and accurate*
All the information entered is correct
I have read and accept the FHM Terms & Conditions*
I accept
Payment Amount
Payment Amount*
Credit Card (DPS Pxpay)
Bank Deposit / Internet Banking
Cheque via Post

After clicking on 'submit application' your credit card details will be processed through the secure online payment gateway. On the successful completion of your transaction you will be presented with your receipt. Visa & Mastercard only

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