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).
Which Conference Are You Registering For?
First Name (Person Completing Registration):
Last Name (Person Completing Registration):
Address (including Postcode):
Please list names of other adults(18+) attending with you:
Please list names of all children (under 18) attending with you and ages (in age order please):
Which Church Do You Attend?
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.
Door greeting (Friday night)
Door greeting (Saturday morning)
Ushering (being available with a name badge to assist with basic needs)
Helping with clean up
Helping to watch children (parents will be looking after own children, but this is if there is a need for a single mum etc.)
Technical assistance (perfect for homeschool teens!!!)
Kitchen help (assisting with morning/afternoon tea set up/clean up)
Registrations Table (Friday Night / Sat Morning)
Where Did You Hear About ENGAGE 2017?
Homeschool Email Newsletter / List
Flyer / Poster
From A Friend
Psalm 12:1 (Eternal Purpose Ministries) Email List / Website
Current Situation With Regard To Home Education:
All Children Are Home Educated (School Age)
Some Children Home Educated & Some In Public/Christian School
All Children In Public / Christian School - Not Considering Home Education At This Stage
No Children Yet But Wanting To Find Out More About Home Education
All Children In Public / Christian School But Considering 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.
I will pay by internet banking using details above.
I wish to pay by credit card (you will be sent details via PayPal - PayPal account required)
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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