Impacting The Nations 2025 - Registration Form

23/04/2025 - 27/04/2025 | Welcome to IMPACTING THE NATIONS 2025 CONFERENCE
Wed 23rd - Sun 27th APRIL 2025

Registration Pricing: $40.00pp (13years+)

Registration for High-school age NOT attending Easter Conference can be added to this form.
For Childcare & Springbank Accommodation please see separate registration form

Person 1 (Main Contact)

Name

Gender

Please select one option.

Female Male

This address will receive a confirmation email

Phone

Church

Please select one option.

Africa Christchurch Dubai Kaikohe Korea L.A Melbourne Myanmar Nelson Nepal Pakistan Philippines Rarotonga San Francisco Thailand Warkworth Not currently attending a Church Other church

Person 2

Name (Person 2 )

Gender (Person 2 )

Please select all that apply.

Male Female

Person 3

Name (Person 3)

Gender (person 3)

Please select all that apply.

Female Male

Person 4

Name (Person 4)

Gender (Person 4)

Please select all that apply.

Female Male

Terms & Conditions

Videos and photos from events may be published for promotional purposes. Your registration for this event confirms agreement with these terms and conditions.

Registration Price: $40 Per Person

1 Person ($40) 2 People ($80) 3 People ($120) 4 People ($160)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

23/04/2025 - 27/04/2025

Welcome to IMPACTING THE NATIONS 2025 CONFERENCE
Wed 23rd - Sun 27th APRIL 2025

Registration Pricing: $40.00pp (13years+)

Registration for High-school age NOT attending Easter Conference can be added to this form.
For Childcare & Springbank Accommodation please see separate registration form

Impacting The Nations 2025 - Registration Form

Description

Please Fix the Following