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Transformed, Not Conformed
Five16 EOY Conference and Outing // 30 Dec: 11am - 8pm, 31 Dec: 1pm - after service
9
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1
Name
First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
*
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Area Code
Phone Number
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4
Medical History
*
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Please let us know of anything to take note of, type NIL if nothing.
Any dietary requirements / restrictions
Any allergies / drug allergies
Any serious medical conditions / chronic conditions
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5
I am...
*
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Please Select
Over the age of 18
Under the age of 18
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Please Select
Over the age of 18
Under the age of 18
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6
Emergency Contact
Please give us details of your parents / guardian
Name of Parent / Guardian
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Father / Mother
Relative (Uncle / Aunt)
Grandparent
Legal Guardian
Sibling (over 21 years old)
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Please Select
Father / Mother
Relative (Uncle / Aunt)
Grandparent
Legal Guardian
Sibling (over 21 years old)
Relationship to you
Emergency Contact Number
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7
Are you able to attend
BOTH
days of conference?
*
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YES
NO
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8
Which day are you
NOT coming
for?
Please Select
30 Dec Tuesday
31st Dec Wednesday
Please Select
Please Select
30 Dec Tuesday
31st Dec Wednesday
Please let us know why! (just in case you go missing or something and we have to answer to your parents haha)
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9
PDPA Policy
*
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By submitting this Form, you hereby agree that All Saints' Church (English Congregation) and its authorised representatives (including but not limited to its employees and volunteers) may collect, use and disclose your personal data that you provide in this Form for the purpose of any operational and administrative matters relating to the Family Conference and pastoral care, in line with our PDPA policy at https://tinyurl.com/ASE-PDPA
I understand and accept the above
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