Combined Youth Conference 2019 Registration Form
Dates: 25th to 28th June 2019
Venue: Calvary Pandan B-P Church
Main Speaker: Rev Clement Chew
Topic: "My Repentance, True or False" (Psalm 51)
Contact Person (Registrar): Thessa Lagapa @ 86178473

*Camp fees: $30

Name *
Your answer
Age *
Your answer
Date of Birth *
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YYYY
Contact Number *
Your answer
Email Address *
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Name of Church *
Your answer
Emergency Contact (name and contact no.) *
Your answer
Food/Drug Allergies
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Full-time or Part-time? *
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