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CI & UQ Registration
Parents Name
Mr.
Mrs.
Miss
Dr.
Rev.
Pastor
View seminar Schedule
Seminar City:
Month of Seminar
January
Febuary
March
April
May
June
July
August
September
October
November
December
Number of children registering
1
2
3
4
5
Full names of Children attending
Name / Birthday (D/M/Y***)
M/F
M
F
age
6
7
8
9
10
11
12
Seminar Attending:
CI
UQ
Name / Birthday (D/M/Y***)
M/F
M
F
age
6
7
8
9
10
11
12
Seminar Attending:
CI
UQ
Name / Birthday (D/M/Y***)
M/F
M
F
age
6
7
8
9
10
11
12
Seminar Attending:
CI
UQ
Name / Birthday (D/M/Y***)
M/F
M
F
age
6
7
8
9
10
11
12
Seminar Attending:
CI
UQ
Name / Birthday (D/M/Y***)
M/F
M
F
age
6
7
8
9
10
11
12
Seminar Attending:
CI
UQ
Address:
City:
State:
VIC
State
NSW
State
QLD
State
TAS
State
WA
State
SA
State
ACT
State
NT
Post Code:
Ph:
E-mail:
C
omments (special needs/health etc)
Total:
Please use the registration calculator below to determine total
I accept the terms and conditions outlined below
Terms and conditions:
At least
one parent
will simultaneously attend a seminar.
Parents will not bring children with a contagious illness.
Parents
must
drop off
and
pick up
their children each day.
Parents will collect their children during Friday lunch.
Children will not be allowed in the main auditorium.
Please use the registration calculator below to determine total
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