Conference Registration Form
OAC Ministries NZ, is required to meet the obligations of the Privacy Act. This Act requires us to obtain your approval for the collection and use of personal information required to enroll in this training/conference. By completing this form you agree for us to collect and store your information until is in no longer required. You are also giving permission for us to take and use photos for promotional purposes.
Name
*
First Name
Last Name
Gender
Male
Female
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
-
Area Code
Phone Number
Church you currently attend
Do you have any dietary requirements?
Gluten free
Vegetarian
Dairy free
Do you have any medical issues we need to be aware of?
Emergency contact
Emergency contact phone number
-
Area Code
Phone Number
Please indicate when you will arrive
Monday
Tuesday
Wednesday
Thursday
Please give a time of arrival
How many nights will you be staying
1 night $78
2 nights $112
3 nights $165
4 nights $215
Submit Application
Clear Fields
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