Please complete the form below in order to become a member of the Waitaki High School Old Boys’ Association (Inc).

Personal information

First Name *
Last Name *

Contact details

Email Address *
Phone (Home)
Phone (Work)
Phone (Mobile)
Postal Address *

Membership information

Pupil at the school from *
Pupil at the school to *
Are you interested in a reunion?
Do you know the whereabouts
and contact details of other ex-pupils?
Please tick any of the following
you are able to assist with:

Payment option

Please select