Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration: Cultural Madonna and Child by Fr Francis Lim, SJ
IMPORTANT NOTES TO READ BEFORE YOU COMPLETE THIS FORM.
Date: Fri, 14 Jan 2022
Time: 8PM to 10PM
Contribution: S$20 | Online platform: Zoom
Confirmation of place is on receipt of contribution.
You will receive an email from Kingsmead Centre with Banking Instructions when we receive your Registration Form. Please contribute soonest possible to secure a place. We thank you for your attention.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Personal Details
Salutation
*
Choose
Mr
Mrs
Mdm
Ms
Rev Fr
Pastor
Sr
Others
Registered Name and Zoom ID
NOTE: When entering Zoom, please ensure that your Zoom ID is the same as your registered name on this Form. If you are using a shared device, please rename your Zoom ID to reflect the name you are giving below. Alternatively, you may give us the Zoom ID below.
Name
*
Your answer
Zoom ID if name is different from above [optional]
Your answer
Email address
*
Your answer
Mobile number
*
Your answer
Religious Denomination
*
Your answer
Church
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
