First Name
*
Last Name
*
Mobile Number
*
Email Address
*
No of people attending (including yourself):
*
Will you require child minding during the event?
*
Yes
No
Number of children:
*
Ages of children:
*
I am a:
*
Campus Life Group Leader
Young Adults Life Group Leader
Adult Life Group Leader
Other
Please specify other:
*
Do you have any dietary requirements?
*
No
Yes
Please specify dietary requirements:
*
If you have any questions regarding the session, please email alpha@claytonchurch.org.au
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