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Registration Details
* Registrations due by 11 November 2016
*
Indicates required field
First and Last Name
*
First
Last
Date of Birth
*
Age
*
Under 18 (a parental consent form will be sent to the email provided)
18 and over
Gender
*
Gender
Male
Female
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Affiliation
*
Parish/School/Group
Accomodation Options
*
Share (included)
Single (+$15)
Dietary Requirements
*
Payment Options - $50 + Accomodation
*
Direct Deposit (BSB: 084352, Acc: 000000860, Name: Roman Catholic Trust Corporation for the Diocese of Cairns. Please use your name and YF as reference)
For cash or cheque payments, please call 0407 716 430
Submit
Home
About
Venue
Register
Contact Us