ENGAGE 2017 Registration Form
Register here for the ENGAGE 2017 Family Discipleship & Home Education Conference on Fri 25-Sat 26 August 2017 (Christchurch) or Fri 1-Sat 2 September 2017 (Auckland).
Email address
Which Conference Are You Registering For?
First Name (Person Completing Registration):
Your answer
Last Name (Person Completing Registration):
Your answer
Address (including Postcode):
Your answer
Phone Number:
Your answer
Please list names of other adults(18+) attending with you:
Your answer
Please list names of all children (under 18) attending with you and ages (in age order please):
Your answer
Which Church Do You Attend?
Your answer
Are you/your family available/willing to help out in some capacity at the conference? If so, please indicate below and we will be in contact nearer the time.
Where Did You Hear About ENGAGE 2017?
Current Situation With Regard To Home Education:
Payment Information: $25 per adult (18+), $15 per child (under 18), 5 and under FREE. Families capped at $80.00. After Filling Out This Form Please Make Payment By Internet Banking Into The Following Account: 02-0860-0069462-000 - use SURNAME as reference.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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