Empower Whānau Online Conference Registration 2022

Empower Whānau Online Conference Registration

Please register by filling in the form below. This is for the 17-18th of June 2022, 2 nights from 7-9pm
Full Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code Country
Do you have any food allergies or special food requirements, please specify:
Are you a Connect Group Leader?
Are you connected to a Connect Group?
Conference Registration *
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Conference Full Access $ 20.00 NZD

Total $ 0.00 NZD
Should be Empty: