Register

Registration Details

* Registrations due by 11 November 2016

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 *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Affiliation *

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