The Word that Works - Registration | Canberra Revival Fellowship

NB. You MUST have an email address to complete this form. Please complete one form per family/group, especially if you wish to be billeted together.

Convention 2009 Registration Form

Family/Group Name (required):

Assembly (required):

Email address (required)

Phone Number (required - inc. area code):

PERSON 1 - Name

Gender Male
Female

Status (for billeting arrangements) Single
Married

Age Group (required) - select option

PERSON 2 - Name

Gender Male
Female

Status Single
Married

Age Group - select option

PERSON 3 - Name

Gender Male
Female

Status Single
Married

Age Group

PERSON 4 - Name

Gender Male
Female

Status Single
Married

Age Group

PERSON 5 - Name

Gender Male
Female

Status Single
Married

Age Group

PERSON 6 - Name

Gender Male
Female

Status Single
Married

Age Group

CATERING: Please indicate if your family/group WILL OR MAY attend any of of the following: Friday night supper/welcome at RF Chandler St. hall (6pm onwards - soup provided for gold coin donation)
Monday BBQ lunch - starting 12.30pm at RF Chandler St hall (gold coin donation)
Monday evening bonfire/fireworks/supper - starting at 7pm at RF Southside hall

Please indicate any special dietary needs Vegetarian
Gluten free
Lactose free
Nut/Peanut allergy

If not listed above, please enter dietary requirement here

Arrival Day (required) Mon 1 June
Tues 2 June
Wed 3 June
Thurs 4 June
Fri 5 June
Sat 6 June
Sun 7 June

Est. Arrival Time (required) Early
Lunchtime
Afternoon
Evening

Departure Day (required) Sun 7 June
Mon 8 June
Tues 9 June
Wed 10 June
Thur 11 June
Fri 12 June

Est. Departure Time (required) Early
Lunchtime
Afternoon
Evening

Will you have your own transport over the weekend? Yes, we will make our own arrangements
No

Will you need a lift from the Airport/City to the RF Hall/Convention venue? No
Yes

If YES, please detail your arrival details below (Arrival Location, Flight #, Arrival day/time)

Please arrange your own, as billeting places are now filled. I/We have organised our own accommodation

PROGRAM - select from the list below the 5 sessions YOU are most likely to attend Equipping your Walk - Is Bible Prohecy still relevant?
Equipping your Walk - The Middle East in Bible Prophecy
Equipping your Walk - What does the future hold?
Equipping your Walk - Creation - the 'how' and the wonder
Equipping your Walk - A study of John 1,2,3 - love, sin and confession
Equipping your Life - Divine Healing - a doctor's perspective
Equipping your Life - Dealing with Long term needs
Equipping your Life - When you can't let go
Equipping your Life - God's advice for a happy marriage
Equipping your Life - Living a happy and balanced life
Equipping your Work - Revival around the world in the last year
Equipping your Work - Experiences from taking the gospel all over
Equipping your Work - Timothy: lessons from a servant like no other
Equipping your Work - Beautiful feet: sharing the gospel effectively
Equipping your Work - Resources for Sunday School

OUTREACHING - please indicate if/when you would like to help with street outreaching near the venue: Thursday (12.00-6.00pm)
Friday (12.00-6.00pm)
Saturday (2.00-4.00pm)
Sunday (2.00-4.00pm)

CRECHE/KIDS ACTIVITY HELPERS (16+) - If you can help us with child care, please indicate below: I can help with Creche
I can help with Primary school kids activities
I can help with High school kids activities

MONDAY CANBERRA TOURS - are you interested in a 2hr bus tour of Canberra on Monday morning? ($15 pp) No
Yes
Maybe

If YES/MAYBE to the tour, please indicate the no. of adults and children attending:

Do you have any other special needs or requests?

FOR PASTORS/LEADERS - please select which of these pre-Convention events you will be attending: Wednesday 3 June - Council Pastors meeting, 2.00-5.30pm (Chandler St.)
Thursday 4 June - Council Pastors meeting, 9.30-5.00pm (Chandler St.)
Friday 5 June - Pastors meeting, 11.00-4.30pm (Chandler St.)
Friday 5 June - Pastors & Families Dinner, 6.00pm (Southside) - children welcome

CONVENTION FEES - How will you be paying your Convention fees? Direct Deposit/Bank Transfer - (THIS IS PREFERRED) Instructions will be emailed to you after you submit this form
Online Credit Card (Paypal) - Instructions will be emailed to you after you submit this form
Cheque (payable to 'Canberra Revival Fellowship')
Cash (cash payments will be accepted on arrival at Convention, but are not preferred)

Please indicate that you have checked your information, by typing "yes" in the box below

Convention 2009 Registration Form

Please complete details below

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