Kairos South Pacific

S/O Online Registration

*What is your full name? *Male or Female? *What is your full address? *Phone Number/Mobile *What is your e-mail address? *Which conference are you attending?
EJ Conference [For those in high school in 2010]
EDGE Conference [For those who are leaving high school in 2009]
*What is your age by December 31, 2009? Church affiliation Have you attended a Life in the Spirit Seminar?
Yes
No
Do you have full driver's license?
Yes
No
Do you have a vehicle available for conference use?
Yes
No
*Do you have any special needs? If you have special needs (dietary, medical, physical, etc.), please state below the details *Do you require accommodation? Note: You will be asked to pay $12 per night to you host families.
Date of Arrival Time of arrival and flight number: Date of Departure Time of departure and flight number Number of nights accommodation is required: Any comments:
Please note that this online registration form will NOT be sent until the "Submit" button below has been pressed. If you already registered before and want to make changes to your previous registration, please indicate so in the comment box above, thank you.

Contact Details for Further Information

Conference Manager: Tom Caballes

Phone [09] 627 4569

Cellphone: 022 6141147

Email josethomascaballes@gmail.com

Address Tom Caballes

16A Parfitt Street

Mt. Roskill 1041

Auckland New Zealand

Deadline for Registration: December 31, 2009.

When God acts, we must respond!

S/O Online Registration