Proceed To Payment


Single Child	$50
2 Child Family	$45
3 Child Family	$40
4 Child Family	$35
Group of 10	$45
Download a Registration Form

Registration Details

Fields with a * are compulsory

Personal Details

Fields with a * are compulsory

Child's First Name

Last Name

Street Address

Suburb

City

Postcode

* Find your postcode

Home Phone

Emergency Contact:

Parent/Guardian Name

Parent/Guardian Phone

For Our Information

Fields with a * are compulsory

Age Group

Church Name

Denomination

Other:

Gender

Registraton Fee

Fields with a * are compulsory

	Child Registration
Standard	$50.00
2 Child family	$45.00
3 Child Family	$40.00
4 Child Family	$35.00
Group of Ten	$45.00

Other Options

Fields with a * are compulsory

Second Childs Name

Second Childs Age

Gender

Third Childs Name

Third Childs Age

Gender

DD/MM/YY

Fourth Childs Name

Fouth Childs Age

Gender

I am bringing a Baby to Conference

Existing Medical Conditions
(Please specify)

Allergies (Please specify)

Other: *
If your child has specific food allergies we ask that you provide a packed lunch in order to avoid potential health concerns

I have read and accept the Privacy Act conditions

Please tick here if you do not want to receive information about future conferences

Registering More Than One Child?

Please contact the conference department for further information about costs for registering more than one child from within the same family.

If you are a group from outside of LIFE, buy 10 registrations, get two free.

Refund Policy

Any amendments and/or refunds must be made in writing to the conference organisers. Cancellations received in writing before 6 May 2011 will receive a refund, less an administration fee of NZ$10. No refunds will be made to cancellations received after 6 May 2011, however a substitute delegate is welcome. To transfer your registration to a substitute delegate please inform us in writing before 13 May 2011. Your registration and payment are confirmation you have read and accepted these terms and conditions. Any enquiries, phone 09 306 4225.

Conference Contact Details

LIFE
95 Mt Eden Rd
Auckland

P.O Box 108138
Symonds St
Auckland 1150

P. 09 306 4225
F. 09 306 4223
E. detonate@lifenz.org