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MEN'S BREAKFAST 21st SEPTEMBER 2024 REGISTRATION
Thank you for registering for Men's Breakfast. Please note: Each adult (18+) MUST register separately. We cannot accept group bookings via this form. REGOS CLOSE Wednesday, 18 September 2024
MEN'S BREAKFAST REGISTRATION
Adult Name
*
First name
Last name
Email address
*
Mobile phone
*
Are you registering as a pensioner?
No
Yes
Are you registering as an adult student? i.e. over 18 yrs
No
Yes
Food Allergies (Type n/a if none)
*
PRIVACY APPROVAL
I agree to my contact details being collected for the purpose of Hope Centre contacting me via text, phone or email for the promotion of upcoming church events and/or gatherings such as Men's Breakfasts etc. (I understand my details will not be given out in any form, including printed, to any other person or organisation).
Privacy Approval (select from the drop down box)
*
Yes
No
Are you registering as a family? i.e. father and boys (aged 13-18 years only)
*
No
Yes
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Register a boy (student) aged 13-18 below
Student Name
*
First name
Last name
Mobile phone
Email address
Food Allergies (Type n/a if none)
*
Add another student by clicking button at right
+ Add another
- Remove
Form Page Break #2
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PAYMENT DETAILS
Registration is $10 per adult & $5 per pensioner/student
It is preferred registrations are paid in advance or if not upon arrival.
Pay online to Hope Centre 03-0531-0804091-00 reference: Mens Breakfast OR pay by Eftpos/cash at the Info Desk on a Sunday.
NB registrations and payments are due by Wednesday 18th September, 2024.
Adult Registration Fee ($10 pp)
$
Pensioner/Student Registration ($5 pp)
$
Total registration amount
$
Payment method
Internet banking - Hope Centre
Make deposit to account
03 0531 0804091 00
Cash
Cash
EFTpos
EFTpos
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Please check the highlighted fields
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