Conference Registration

Title:

Surname:

First Name:

Address:

Phone:

Age:

Are you a student?

Email:

Church

Morning Seminar Choice: A,B or C

Afternoon Seminar Choice: A,B or C

Workshop Choice:

Option 1 AM - Workshop no.

Option 2 PM - Workshop no.

Leadership Dinner? (Limited Numbers)

Fees:

Adults: $35 per person
Students: $15 per person
Leadership Dinner: $5 per person