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iBridge Impact Camp 2014 Registration Form
To register, please complete the information below and then click the "Submit" button.
After registration, please proceed make the camp fee payment at this link
https://docs.google.com/spreadsheet/viewform?fromEmail=true&formkey=dFpFbVRKMXpFU2RXcXVqVS1abnhHZFE6MA
Should you have any inquiries, kindly email us at
ibridgecamp@gmail.com
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* Indicates required question
Personal Details
1. Surname / Last Name
*
e.g. Lim
Your answer
2. First Name and Middle Name
*
e.g. Jack, Seng Hock
Your answer
3. Preferred Name (for name tag)
*
e.g. Jack Lim
Your answer
4. Date of Birth (dd/mm/yyyy)
*
e.g. 28/07/1990
Your answer
5. Gender
*
Female
Male
6. Mobile Number
*
e.g. 012-3456789
Your answer
7. Email Address
*
jacklim@gmail.com
Your answer
8. Current Residential Address
*
Your answer
9. Post Code
*
Your answer
10. City
*
Your answer
11. State
*
Choose
Johor
Kedah
Kelantan
Kuala Lumpur
Malacca
Negeri Sembilan
Pahang
Penang
Perak
Perlis
Sabah
Sarawak
Selangor
Terengganu
12. Job Specialisation
*
Choose the one that is most applicable to you
Choose
Accounting
Finance / Banking
Administration / Secretarial
HR
Sales / Marketing
Art / Media / Advertising / Communication
Customer Service
Law
Logistic / Supply Chain
Social Service / NGO / Church / Charities
Sciences (Biotech / Chemistry / Geology / etc)
I.T
Engineering
Manufacturing
Building / Construction
Hotel / F&B / Tourism
Education / Training
Health Care (Doctor / Nurse / Pharmacist)
Public Service (Govt)
Business Owner
Journalist / Publishing / Editors
Students
Others
13. Working Experience
*
e.g. 2 years and 3 months
Your answer
14. University / College
Your answer
15. Length of Stay (Days)
*
Choose
4 Days 3 Nights (Friday-Monday)
3 Days 2 Nights (Saturday-Monday)
16.Time of arrival to camp
*
Morning
Afternoon
Evening/Night
17. Which church are you attending?
(if applicable)
Your answer
18. Any allergies / special needs?
*
Yes
No
19. If you answered Yes to question 18, please specify
Your answer
20. Are you a snorer? / Are you able to sleep in the same room as a snorer?
*
(this is to help us in room allocation)
Yes
No
Emergency Contacts
21. Emergency Contact Name
*
Your answer
22. Relationship of the named emergency contact to you
*
(e.g. Father,,Mother, Husband, Wife, etc.)
Your answer
23. Emergency Contact Number
*
Your answer
Transportation
24. Are you able to provide transport to another camper?
*
Yes
No
25. If Yes to question 24, for how many people? (excluding self)
Choose
1
2
3
4
5
26. Names of Passengers (if pre-arranged)
Your answer
27. If No to question 24, do you need transport to be arranged for you?
Yes
No
Clear selection
28. Additional Remarks / Comments on Transport
Your answer
Serving Opportunities at the Camp
29. Do you have experience leading small groups and would you be willing to lead one during camp?
Yes
No
Clear selection
30. Do you have experience handling PA equipment and would you be willing to handle PA equipment during the camp?
Yes
No
Clear selection
31. Do you have experience leading worship and would you be willing to lead worship during the camp?
Yes
No
Clear selection
32. Do you have experience as a backing vocalist and would you be willing to be a backup vocalist during the camp?
Yes
No
Clear selection
33. Do you have experience as a pianist or keyboardist in a worship team and would you be willing to play the piano or keyboard during the camp?
Yes
No
Clear selection
34. Do you have experience as a guitarist in a worship team and would you be willing to play the guitar during the camp?
Yes
No
Clear selection
35. Additional Remarks / Comments on Serving at the camp
Your answer
Sponsorship
36. Do you need camp fees sponsorship?
(only for genuine cases please)
Yes
No
Clear selection
37. Would you like to help to sponsor camper(s) with genuine needs?
Yes
No
Clear selection
38. If Yes to question 37, how much would you like to sponsor?
Your answer
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