Churchie OBA: Contact Information Form

'2023' New Old Boys Night

Transcontinental Hotel (Dining Hall

Thursday 28 November 2024
6.30 - 8.30 pm

To register your interest in attending this event, please complete the following details.

Name:*

First NameLast Name

Email Address:*

example@example.com

Phone:*

mobile preferred

DIETARY REQUIREMENTS?:*

please select Yes or No

Please Indicate dietary type:*

Please indicate 'Other' dietary type:*

By submitting this form, you agree for your contact information to be shared between the Churchie Old Boys' Association, the Anglican Church Grammar School (Churchie).