JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Anchored Registration 2026
Please fill out the following details to register.
Please note that r
egistration is only confirmed after payment.
If you have any questions, please email secretary@shorebaptist.org.nz
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Male
Female
Email
*
Please enter the email address you check most frequently
Your answer
Mobile Phone Number
*
Your answer
Home Church
*
Which church are you currently attending? (N/A if not applicable)
Your answer
Spouse/Children
If your spouse or children are attending, what are their names?
Your answer
How many days will you be attending?
*
Full Retreat
Saturday Only
Sunday Only
Other:
Will you require assistance with transport to the campsite?
If you need pick up from the airport or need transport to the campsite, please let us know the details in the 'Other' box. We will do our best to organise transport for you.
No
Other:
Clear selection
Allergies/Dietary Requirements
(Not just preferences please as it can be difficult to accommodate all of these for a big group)
Your answer
Additional Information/Medical Issues
If you have any other requirements or details that we should know, please leave them here
Your answer
Submit
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