Complete the form below to submit your online registration for QBWE. Then, please ensure you make payment by internet banking to complete your registration.

Please ensure that you have all the information you need before starting your online registration as you will not be able to save a partially completed registration.


After clicking “Send” a confirmation message will be displayed and your registration will automatically be emailed to the organiser and a copy to yourself.
Please contact Andrew Patterson if this is not the case or you encounter any technical problem.

You will receive a further email from the organiser to confirm your registration and payment have been processed.

    Personal Details
    Name (for name tag) *

    Address *

    Phone *

    Email *

    Medical requirements
    Emergency Contact
    Name *

    Relationship *

    Phone *

    Phone (alternative)
    Class selection guide
    For dancers with less experience who wish to improve their dancing and confidence.
    For experienced dancers wishing to enjoy dancing at an advanced level.
    Please seek the advice of your club teacher when selecting a class if you are unsure. We reserve the right to transfer an attendee to a more suitable class, if necessary.
    Class selection
    Please ignore this section if you are only attending the Saturday Ball
    Dancing experience (years)

    Current club

    The organiser reserves the right to change the teachers and the classes offered, depending on registration or other events, without notice.
    Optional dinners
    We will book your place but you pay for your dinner on the night
    Saturday dinner at venue TBA
    Sunday dinner at Whakatane RSA
    Should this event be cancelled due to Covid regulations a full refund will be made.
    $80 Whole school - Adult$40 Whole school - JAM$25 Saturday Ball only
    Please make payment by internet banking to:
    Royal Scottish Country Dance Society New Zealand Branch Incorporated
    Waikato Bay of Plenty Region
    Bank account No: 03 1555 0015948-00
    Please use your name as reference.
    Please accept my registration for Dance Again Whakatane.

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