Young Adults Retreat Registration 11-12 June 2025
For me to live is Christ and to die is gain Philippians 1:21
Full Name Per Passport/ Passport Number
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Full Name Per Passport
Passport Number
E-mail
*
example@example.com
Gender
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Please Select
Male
Female
Mobile Number
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Passport Issue Date
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Month
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Day
Year
Date
Passport Expiry Date
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Month
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Day
Year
Date
Name of Room Mate ( If no preference, can leave it blank or edit it later via the confirmation email link )
Are you attending church camp from 12-15 June. If Yes. It will be free :). If no, the retreat fees would be SGD140
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Please Select
Yes
No
Emergency Contact
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Name
Contact Number
PDPA Consent By providing your personal data to the Church, you acknowledge that the Church is collecting, using, or disclosing your personal data to continue to provide activities and/or services to you. You also consent to the Church contacting you by telephone or sending phone or email messages to you.Should you provide us with personal information relating to a third party (eg. your spouse, child, parent, relative, foreign domestic worker, or friend), you represent to us that you had obtained the third party’s consent to provide us with their personal data for the respective purposesa question
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I consent
Remarks/ Specific Requirements ( If any)
Submit
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