Melbourne Chinese Christian Church Winter Breeze Registration Form 2019
Event Details:

What: Winter Breeze is a two day event where Melbourne Chinese Christian Church will be hosting a range of group activities, competitions and workshops about what it means to be a Christian – all food and materials will be provided!
Where: Melbourne Chinese Christian Church, 29 Summerhill Rd, Glen Iris VIC 3146
When: 12th – 13th July 2019
Cost: Free!

Queries/Concerns: Contact Micah Wong on 0416 848 775 or Hanan Tang on 0449 901 847

Please fill in the details below.
Name: *
Your answer
Date of Birth
Your answer
Mobile Number
Your answer
Transport Required? *
Dietary Requirements/ Allergies (or N/A if none) *
Your answer
Emergency Contact (Full Name, Relationship to Child, Best Contact Number and Address) *
Your answer
Parental Consent for Under 18s (to be read and filled by parent/guardian): I, as parent/guardian of [child attending Winter Breeze 2019] hereby give consent for him/her to attend Winter Breeze 2019 on the 12th – 13th July 2019. I understand that due care and precaution will be taken in relation to his/her health and safety, and I hereby agree to indemnify and keep indemnified the MCCC, the English Service, its directors, pastors and leaders against any and all liability, whether under statute or at common law, in respect of any injury at or in relation to the event, however caused, whether by negligence or otherwise. *
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