Course Registration If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Please complete this form and we will email you payment instructions and further information. First Name * Last Name * Email * Mobile Phone * Dietary requirements If you are want to register as a couple, please provide second person's details below Second Person: First Name Second Person: Last Name 2nd Person: Email 2nd Mobile Phone 2nd Person Dietary Requirements If you are a human and are seeing this field, please leave it blank.