On the Streets registration

'On the Streets' Conference
2-4 February 2024

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

Emergency Contact Number *

Which type of room would you prefer to book? *

Shared room (twin/double) Single room

If you are sharing a room and know with whom you would like to share a room, please enter their name here *

Please refer to the main webpage for costs

Once your registration is confirmed, a 50% non-refundable deposit is required to secure your place.
The remaining balance will then be due by 30 November 2023.

Use of personal data: We will respect your personal data. See our Privacy Notice for more information.

Submit

​​​'On the Streets' Conference​2-4 February 2024Registration Form

'On the Streets' Conference
2-4 February 2024

Registration Form