ConneXion 2024 - Registration

1

What is today's date?* This field is required.

Date

2

What is your name?* This field is required.

Prefix - please scroll for title

First Name

Last Name

3

What is the name of your Church?* This field is required.Please select from this list

4

What is the name of your Church?

5

What is your email address?

example@example.com

Confirm Email

6

What is your phone number?* This field is required.

Area Code

Phone Number

7

I am registering as a?* This field is required.

Minister or Pastor

Church Lay Representative

Guest

8

Are you attending the National Conference business sessions?* This field is required.8.30am - 4.30pm on Friday 8th November

Yes

No

9

Are you attending the ConneXion celebration dinner?* This field is required.6pm - 10pm on Friday 8th November

Yes

No

10

Are you attending the Saturday keynote sessions?* This field is required.9am - 4pm on Saturday 9th November

Yes

No

11

Do you have any dietary restrictions or food allergies?* This field is required.Please contact connexion@wesleyan.nz to discuss any dietary restrictions you have but NOT listed below.

Gluten Free

Dairy Free

Vegetarian

Food Allergy

None

12

What is your food allergy?

.

13

Do you have any accessibility needs?* This field is required.

Yes

No

14

What are your accessibility needs?

.

15

Do you have children who are attending the Wesleyan Kids programme on Saturday 9th November? (1 - 13 years old).* This field is required.A team of volunteers are running a fully supervised children's programme upstairs on Saturday 9th November between 9am and 4pm. This programme is free to attend with meals provided. Please sign your child/ren in on arrival and sign them out when leaving.

Yes

No

16

What are the names and ages of your children?

17

Do your children have any dietary restrictions or medical conditions we need to be aware of?(e.g. gluten free, dairy free, vegetarian, asthma)

18

Thank you for your registration.

ConneXion 2024 is being hosted by the Tongan Forum and held at East City Wesleyan Church, 219 Burswood Drive, Botany, Auckland.

ConneXion is a FREE event - you have nothing to pay.

19

Just to make sure you are human please tick the box below* This field is required.