2025 WA MYC

Region*

WA Region

Dates: 14-18 July
Venue: Wattle Grove and Advent Park

Cost:
$350 until 11 May
$375 Standard until 29 June
$395 Late rego after June 29

Once you submit this form, you'll need to arrange to pay for MYC by bank transfer to the Christian Student Support account. Instructions, including account details and a reference number, will be emailed to you (please check your spam/promotions folder if you don't receive it). If you have any questions, please contact your Campus staff member or email simontreadgold1@gmail.com

Date*

Date

Hour Minutes

First Name*

Last Name*

Different preferred name

E-mail*

Confirmation EmailPlease double-check that there are no errors in your email address

Mobile*

Please double-check that there are no errors in your mobile number

Gender*

How old will you be on 8 July 2025?

I will be 17 years old or olderI will be 18 years old or older

University & Campus *

Year at uni*

What course do you study?*

Do you have special dietary needs?*

YesNo

Dietary Requirements*

Do you have any special medical conditions?*

YesNo

Please list any medical conditions we should be aware of:

Emergency Contact Name*

Emergency Contact Relationship to you*

Emergency Contact Number*