Menai Anglican Church :: Church Conference 2012 Registration

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Please complete all of the details below for each person attending the 2012 Church Conference. Please note that questions marked with an asterisk are compulsory. After completion you will be taken to a payment page which will provide details of the payment required.

Family/Registrant Details

Family/Registrant Surname *

Registrant First Name *

Address

Confirm Email

Contact Phone Number *

Please complete the full information below for each person attending the conference. This will assist us in planning the activities as well as child minding.

Attendees

Attendee 1

First Name

Surname

Age

Attendance (please select an option)

Attendee 2

First Name

Surname

Age

Attendance (please select an option)

Attendee 3

First Name

Surname

Age

Attendance (please select an option)

Attendee 4

First Name

Surname

Age

Attendance (please select an option)

Attendee 5

First Name

Surname

Age

Attendance (please select an option)

Attendee 6

First Name

Surname

Age

Attendance

Attendee 7

First Name

Surname

Age

Attendance (please select an option)

Attendee 8

First Name

Surname

Age

Attendance

Accommodation

I require accommodation for the following adults and children

Adults (Number)

Children

All attempts will be made to meet individual and family accommodation needs. However some flexibility may be needed due to available accommodation types.

Menai Anglican Church attempts to ensure that all food provided is free from nuts. However despite all care we cannot guarantee that all food is free from nuts. It is the responsibility of the individual to ensure the food is suitable for their family medical needs.

All registrations will need to be paid for before confirmation of accommodation is made. Accommodation will be provided on a first-come basis, once payment is received.

By ticking the box below you acknowledge acceptance of these conditions.

Acknowledge

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