Youth camp 2022 – RCCG Living Faith Assembly

Registration

Name *

First

Last

Email *

Phone *

Gender *

Age Bracket

Emergency Contact Name *

Emergency Mobile Number *

Emergency Contact Adress *

Address Line 1

City

State / Province / Region

Postal Code

Country

YOUR REGISTRATION IS ONLY CONFIRMED AFTER YOU MAKE THE REGISTRATION PAYMENT.
PAYMENT INSTRUCTIONS WILL BE SENT TO YOUR PROVIDED EMAIL ADDRESS.
DUE TO LIMITED SLOTS, WE RECOMMEND THAT YOU MAKE THE PAYMENT AS SOON AS POSSIBLE TO CONFIRM YOUR SPOT
THE DEADLINE FOR REGISTRATION AND PAYMENT IS 31/03/2022