Breakaway Holiday Programme
Registration Form

Registrations

Each programme has 10 spaces available. 
ANY REGISTRATIONS AFTER THIS GO on TO the Waitlist

Applications are accepted on a first come first served basis for eligible participants. AST reserves the right to withdraw, alter or amend programme applications.

You can attend 1 programme per school holidays

Your name will appear on the student list once your application is successful.
If this is a problem please enter XXXXX in the ‘Participant First Name and Last Initial’ question
or email office@adventurespecialties.co.nz

Is your form not submitting or moving to the next page? 
Chances are you’ve forgotten to enter some key information above – scroll up and fill in the questions highlighted in red

Lives Inspired by Adventure!

Head Office

office@adventurespecialties.co.nz

 

Auckland

Physical: 1/4 Winston Place, Henderson, Auckland 0610 

Postal:  PO Box 104183, Lincoln North, Auckland 0610

Phone: 09 837 6033 

Christchurch

Physical and Postal:  71 Bamford Street, Woolston, Christchurch 8023 

Phone: 03 348 4547