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 *
Your answer
Phone *
Your answer
Gender *
Age Range *
Medical or dietary requirements *
Your answer
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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