National Conference Registration RegistrationRegister NowREGISTER NOWBest not to use Mobile to register. For other help using the Registration form contact David Sparks on 0424 759 914 Accomodation*Accommodation RequiredAccommodation NOT RequiredI am registering as an...*Choose from the drop down box.Select OneUni StudentIndividual AttendingCouple AttendingFamily w/ all children under 3Family w/ Oldest child aged 3-5Family w/ Oldest child Year K-6Family w/ Oldest child Year 7+Day Visitor Attendee*Choose from the drop down box.Select OneUni StudentIndividual AttendingCouple AttendingFamilyI am registering as an...*Choose from the drop down box.Select OneUni StudentIndividual AttendingCouple AttendingFamily w/ all children under 3Family w/ any children age 3-9Family w/ any child age 10 and overDiscount CodeIf you have a discount code enter it here.Includes from first meeting of the day and all meals the rest of the day. Name FieldsFirst Name* First Name Last Name* Last Name Spouse Name* First Name Children's Details*Click "+" to add another child as required.Child NameAgeSchool Year Contact DetailsEmail* Phone*Spouse PhoneMailing AddressNavigators have my current Mailing AddressNavigators don't have my current Mailing Address Address* Street Address City ACTNSWNTQLDSATASVICWA State Postal Code Airport Transport required*YesNoFlight Arrival DetailsPlease list Arrival Flight # and Time below or Email Navigator office ASAP.Flight Departure DetailsPlease list Departure Flight # and Time below or Email Navigator office ASAP.Require Special Diet*YesNoDietary Requirements*Click + to add another person. GIVE FULL dietary requirementsFirst Name (Diet)Dietary Requirements Workshop ChoicesPlease choose by number, two workshops you would likely attend from Workshop list. Click + to enter a 2nd attendee's choices.Choice1Choice2 Workshop Topics 1. Hard Yards: Joyful Perseverance 2. Better Together: Tips for Labouring as a Community 3. How the gospel transforms the way you work 4. Dealing with hurt: grace, mercy and forgiveness in day to day life 5. Getting out of the blocks: starting well in discipleship 6. Living out the basics of the Christian life 7. Five areas to keep in balance while trying to build life-long generational labourers Special Comments or other notesOptionalOptional Activity*Giant Swing / Flying Fox $8-10 payable at the campsiteYesNoEnter a number on the days you are attending.Singles should register separately.What day are you attending?*Select oneSaturdaySundayAdults*Enter number Adults attending. Price: $ 125.00 Quantity: Uni Student*Enter 0 or number Uni age attending. Price: $ 99.00 Quantity: School age Children*Enter 0 or number Children attending. Price: $ 49.00 Quantity: Pre-School*Enter 0 or number Pre-School age attending. Price: $ 39.00 Quantity: BabiesEnter number babies attending. Price: $ 0.00 Quantity: PAYMENT METHODDiscount (20%) Price: $ 0.00 Discount (40%) Price: $ 0.00 Discount (50%) Price: $ 0.00 Discount (50%) Price: $ 0.00 Discount (50%) Price: $ 0.00 Discount (50%) Price: $ 0.00 Conference Fee payable $ 0.00 I would like to pay with*Direct DebitCredit CardI would like to pay with*Staff ReservesI would like to pay with*Staff ReservesCredit CardDirect DebitCredit Card MasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name Bank Account Name*Bank Account BSB*No dashes or spaces between numbersBank Account Number*No dashes or spaces between numbersBalance OFFICE STAFF WILL HANDLE DEDUCTING the fee payable FROM YOUR RESERVES. Secure 128bit encryption Protected by an industry-standard high grade 128bit encryption, using SSL technology. CommentsThis field is for validation purposes and should be left unchanged.