A Weekend Away 2025 - Registration Form

Personal Information

First Name:

Required field

Last Name:

Required field

Email:

Required field

Phone Number:

Required field

Street/Unit:

Required field

Post Code:

Required field

Address:

Required field

Select:

Children Mentor:

Select:

Global Discipleship Renewal Ministries

Bank: Commonwealth Bank

BSB No: 066000

Account No: 13157401

Mobile No: 0405771286