Raging Fire 25 Rego Form

RAGING FIRE REGISTRATION (INCLUDES ENCOUNTER YOUTH STREAM & RAGING KIDS)

Thank you for registering for the Raging Fire gathering. Please note: We cannot accept group bookings via this form. One registration form per single/couple/family.
N.B. There is a separate registration form for Fuel The Fire Leader's Day.

Please select who is registering. If you're registering for the main gathering and/or Encounter Youth and Raging Kids please select Family. *

Adult

Family (including Encounter Youth and Raging Kids)

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Adult Name (N.B. To add a second adult see click box below right) *

First name

Last name

Email address *

Mobile Phone *

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 Raging Fire 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) *

Add another adult by clicking button at right

+ Add another adult

- Remove

Are you registering for Encounter Youth (school years 7-13)? *

Yes

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ENCOUNTER YOUTH STREAM REGISTRATION (school years 7-13)

Name (N.B. To add a second youth attendee see click box below right) *

First name

Last name

Email address *

Mobile Phone *

Date of Birth *

Gender *

Medical conditions/Allergies (Type N/A if none) *

PARENTAL PERMISSION

I give permission for the above teen to travel to afternoon offsite activities.
N.B. Offsite activities will be advised closer to Encounter Youth

Parental Permission *

Add another youth attendee by clicking button at right

+ Add another Youth

- Remove

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Are you registering anyone for Raging Kids (school years 1-6)? *

Yes

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RAGING KIDS REGISTRATION (school years 1-6)

Childs Name *

First name

Last name

Gender *

Date of Birth *

Medical conditions/Allergies (Type N/A if none) *

PARENTAL PERMISSION

I give permission for the above child to travel to afternoon offsite activities.
N.B. Offsite activities will be advised closer to Raging Kids

Parental Permission *

Add another child by clicking below

+ Add another Child

- Remove

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How did you hear about Raging Fire? *

Other...

PAYMENT DETAILS

Registration for Raging Fire is by donation.
Suggested donation: $30, $50, $100 or other.
Donations can be paid in advance or on arrival at Raging Fire.
To pay online as part of your registration please see below.

Pay processing fee

Tick if you would like to pay the processing fee

Raging Fire donation

Encounter Youth donation

Raging Kid's donation

Total donation for Raging Fire

Donation method *

Credit card

Internet banking - Fan the Fire Ministries
Make deposit to account
03 0531 0804091 03 (use your surname as the reference and RFReg as the code)

No donation or donate on arrival
No donation or donate on arrival