Breakthrough Group Registration 2024

Youth Group Name *

Key Leader Name *

Key Leader Mobile *

Key Leader Email *

Church *

Senior Pastor Name

Senior Pastor Email

Group Size *

Tip: Please provide an estimate of numbers in your group

Accommodation Assistance Needed *

* 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