Breakthrough Conference 2020

Date & Time

29 May, 2020 8:00 PM - 31 May, 2020 10:00 PM

Type

Price

Quantity

Earlybird

Price
NZ$30.00

Quantity

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Breakthrough Registration Form 2020

First Name *

Last Name *

Age

Mailing Address

Email Address *

Phone Number *

Gender

Youth Group Name

Key Youth Leader Name

Church

Emergency Contact Name

Tip: Required for delegates under 18 years of age

Emergency Contact Relationship

Tip: Required for delegates under 18 years of age

Emergency Contact Phone

Tip: Required for delegates under 18 years of age

* You will receive a confirmation email upon submission. Please check to ensure this doesn't end up in your SPAM filter. If you have any questions please email us at info@breakthrough.org.nz

Total

NZD0.00

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