Form Builder

NZPCN membership

I am an NZPCN member
I am not an NZPCN member

First name

Last name

Preferred name

Mobile phone number

We are seeking mobile contacts for conference attendees should contact tracing become necessary during or after the event.

Postal address

Full postal address including postcode.

Organisation

I agree to have my name, organisation and contact email published in the conference handbook

I prefer to receive a PDF version of the conference handbook rather than a paper version

Dietary requirements

Omnivore
Vegetarian
Other

Dietary requirements (other)

Your message

Do you wish to present at the conference?

Presentation type

Spoken presentation
Poster presentation

I am a student

Spoken presentation details

Spoken presentations are 12 minutes plus 3 minutes for questions.

Session to present in

Presentation title

Authors

Please enter in the format "Name (Organisation)", with each author on a new line.
Example "Veronica Green (Hebe Heaven Nursery)"

Abstract

Maximum: 1500 characters

I consent to have my presentation recorded and shared by NZPCN on YouTube

Poster presentation details

Presentation title

Authors

Please enter in the format "Name (Organisation)", with each author on a new line.
Example "Veronica Green (Hebe Heaven Nursery)"

Abstract

Maximum: 1500 characters

Links

Please read our Conference Code of Conduct.

Covid protocol: In the event of a Covid 19 outbreak, we do not intend to convert the conference to an online conference, rather we will postpone until all New Zealand is at alert level 1 (our understanding of alert level 1 on 23 Sept 2021). All venues will have QR codes, and Covid-19 registration forms (for those without smart phones and the New Zealand Covid tracer app) which all conference participants will be required to complete or scan into at all venues. Your registration details will be used for contact tracing in the event of a Covid 19 outbreak being identified at the conference. In order to attend the 2022 NZPCN conference you must have received both doses of the Covid-19 vaccine. Please note, if you are an international delegate we recommend you read the current government information about travel to Aotearoa/New Zealand here. A complete Covid 19 protocol for the conference is being developed, we welcome your questions and suggestions.

I agree that I have received (or will have by 4 December 2022) both doses of the Covid-19 vaccine

Payment total

Payment method

If you select invoice we will generate an invoice and email it to you.

Credit card
Invoice