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Contact Us
Maritza Gonzalez
'On the Streets' Conference
31 Jan - 2 Feb 2025
Registration Form
*
Indicates required field
Name
*
First
Last
Title (e.g. Mr, Mrs)
*
Gender
*
Male
Female
Date of Birth (DD/MM/YY)
*
Mobile Phone Number
*
Email
*
Name of Home Church
*
Which street evangelism team are you part of?
*
Any health/dietary requirements
*
Emergency Contact Name
*
First
Last
Only for emergency use
Emergency Contact Number
*
Which type of booking would you like?
*
Full board with Single room
Day only - Sat
Please refer to the
main webpage
for costs
Once your registration is confirmed, a £80 non-refundable deposit is required to secure your place.
The remaining balance will then be due by 14th January 2025.
Use of personal data: We will respect your personal data. See our
Privacy Notice
for more information.
Once you click ‘submit
’,
please email Johnny at
[email protected]
to confirm your form has been safely received. Many thanks.
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