Alpha Dinner Registration
Thursday 3rd August 2017
The Hub Youth Centre 12a Cemetery Rd Mosgiel
Contact Joy at 03 4896308 ext 703
Email address *
Name *
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Phone *
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Gender *
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Age Range *
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Medical or dietary requirements *
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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.
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A copy of your responses will be emailed to the address you provided.
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