Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fresh Connections 2021- Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
Your answer
Surname
Your answer
Mobile
Your answer
Email
Your answer
Dietary requirements
vegetarian
Gluten free
Other:
Hardship
Please find me sponsorship to cover half the cost
Please find me sponsorship to cover the full cost
Clear selection
Transport needed
I will need a ride to St John's, meeting at St Georges at 9am
I will need a ride back to St G's at 3.30pm
Clear selection
I can transport the following number of people to St John's meeting at St Georges at 9am
Your answer
I can transport the following number of people back to St Georges at 3.30pm
Your answer
I am happy to subsidise towards contributors / speakers / people who would find it difficult to afford the cost. I will add this to my “Day Out” deposit to the church. Enter amount below if you are able to contribute
Your answer
Payment: Eftpos or Cash to the church office (Mon – Fri, 9am-2.30pm),Online 03-0104-0109844-00, Reference “WDO” and “your name” For Wahi Eftpos or more info, please contactJocelyn Grantham on 021 256 6635
I will pay
*
Cash or Eftpos - At the Church office paid
Online
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
