Alpha Dinner Registration
Thursday 3rd August 2017
The Hub Youth Centre 12a Cemetery Rd Mosgiel
Contact Joy at 03 4896308 ext 703
18 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
Medical or dietary requirements
Photo and privacy consent
I understand if I give consent my information may be kept on file by East Taieri Church to use for administrative purposes. I understand that photos from this event that may include pictures of me/others may be used the church for promotional purposes.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Elmgrove School.
Terms of Service