Online Registration Form - Young Peoples Convention 2018

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1 Online Registration Form - Young Peoples Convention 2018 This is the Online Registration Form for the Young Peoples Convention Please ensure that you have purchased your ticket for the event from Computicket at R100 before completing the Online Registration form. Please direct all questions on the event to your Rector or Youth Leaders. Alternatively send an to ypc18218@nac-sa.org.za and we will respond as soon as possible. *Required Computicket Number Please enter your computicket number here. If you don't have a ticket yet, please buy your ticket first and then come back to register What is your Computicket Ticket Number for the Sunday 18 February divine service? * Please note that seating in the stadium cannot be reserved and no seats are allocated with tickets purchased I will be attending.. * Only the Divine service on Sunday 18 February Both the Concert on Saturday 17 February and the Divine Service on Sunday 18 February

2 3. 3. I am: * Please note that the event is only open for Young People and Accompanying Ministers a young person attending the Convention a minister accompanying the young people to the Young Peoples Convention Youth Leadership Please complete this section only if you are part of the youth leadership. If not, please select Not Applicable Are you a youth leader? Not Applicable Bishop Area Youth Leader District Youth Leader Congregation Youth Leader Congregation Spiritual Leader Personal Details Please complete all your personal details here What is your Name * What is your surname? * What is your address? * If you don't have an address, please use the mother/father/legal guardians address

3 8. 8. Gender * Female Male Date of Birth * Please complete dd/mm/year Example: 15 December What is your Mobile Telephone Number? * Please complete in the following format - +27(0) What is the name of your Emergency Contact? * This could be your mother/father/legal guardian/spouse/sibling, etc What is your Emergency Contacts Mobile Telephone Number? * Please complete in the following format - +27(0) What is your T-shirt size? * Please select from the Drop Down list below XS S M L XL 2XL 3XL 4XL 5XL Medical Conditions

4 If you have any existing allergies? Please list them below * If you have no allergies, please indicate "Not Applicable" or "None" If you are you taking any chronic medication? Please list them below * If you are not taking chronic medication please indicate "Not Applicable" or "None" Please list any existing disability or medical conditions that we should be aware of * If you have no disabilities or medical conditions, please indicate "Not Applicable" or "None" Do you have any Dietary Requirements? * Tick all that apply. None Vegetarian Vegan Kosher Gluten-free Lactose-free Halaal Other: Where are you from? Please tell us where you are from? Which Congregation are you from? * Please ensure that you spell the Congregations name correctly. (If you are invited as a special guest, please use the congregation of the person that invited you)

5 Who is your Apostle? * Please select from the Drop Down list below District Apostle Helper Mkhwanazi Apostle Arendse Apostle Cronje Apostle Diedricks Apostle Joubert Apostle Kriel Apostle Lambert Apostle Liwakala Apostle Meyer Apostle Mintoor Apostle Mogane Apostle Nene Apostle Page Apostle Stephens Apostle Swartbooi Apostle Thompson Apostle Worship

6 Which Bishop Area are you from? * Please select from the Drop Down list below ARCADIA BISHOP AREA BELLVILLE BISHOP AREA CENTRAL KAROO SMP BISHOP AREA DELFT BISHOP AREA EAST LONDON BISHOP AREA ELSIES RIVER BISHOP AREA FREE STATE & LESOTHO SMP AREA GEORGE BISHOP AREA GRASSY PARK BISHOP AREA JOHANNESBURG BISHOP AREA KENSINGTON BISHOP AREA KRAAIFONTEIN BISHOP AREA KUILS RIVER BISHOP AREA KWAZULU NATAL 1 BISHOP AREA KWAZULU NATAL 2 BISHOP AREA LENTEGEUR BISHOP AREA MPUMALANGA CENTRAL BISHOP AREA MPUMALANGA EAST BISHOP AREA MPUMALANGA NORTH BISHOP AREA MPUMALANGA SOUTH BISHOP AREA NAMIBIA NORTH BISHOP AREA NAMIBIA SOUTH BISHOP AREA NOBUHLE BISHOP AREA PRETORIA NORTH BISHOP AREA PRETORIA WEST BISHOP AREA QUEENSTOWN BISHOP AREA RETREAT BISHOP AREA RIVERSDALE BISHOP AREA ROCKLANDS BISHOP AREA SILVERTOWN BISHOP AREA STELLENBOSCH BISHOP AREA SWELLENDAM BISHOP AREA TAFELSIG BISHOP AREA WEST COAST BISHOP AREA

7 Which Province are you coming from? * Please select from the Drop Down list below Eastern Cape Free State Gauteng Kwa Zulu Natal Limpopo Mpumalanga North West Northern Cape Western Cape Countries outside of South Africa Transport Requirements - Only for those Outside the Greater Cape Town Area For those outside of the Greater Cape Town Area Will you: * be arranging your own transport to Cape Town? require transport from your home town to Cape Town? I live in the Greater Cape Town Area and will not require any transport Accommodation Requirements - Only for those Outside the Greater Cape Town Area For those outside of the Greater Cape Town Area Will you: * be arranging your own accommodation in Cape Town? require accommodation with a host family in Cape Town? I live in the Greater Cape Town Area and will not require any accommodation When will you be joining the Young Peoples Convention Activities? * Friday 16 February Saturday 17 February Sunday 18 February 25. Please Note: Privacy and Indemnity

8 25. * Tick all that apply. I am aware that this is a public event and that it will be filmed and that photographs may be taken of me during the course of this event. I am aware that images of me may be used in the advertising of the event on social media or during the subsequent manufacturing of a DVD of the event I have no expectations of privacy during the course of this YPC Public event I am aware that I must complete an indemnity form which I can obtain from my Rector or Youth Leader Comments or Suggestions Would you like a DVD to be produced of the event? * Yes No Do you have any comments or suggestions to make the Convention a more enjoyable and spiritually enriching experience? Powered by

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