Form

First Name*

Surname*

Contact Number*

Email*

Dietary Requirements (medical)

Who would you like to share a room with (if possible):

Loud Sleeper?

Yes

Connect group leader*

I confirm*

I will complete all the preparation requirements before the weekend I release Every Nation Church London, it’s Trustees and Staff from any loss, personal injury, accident, misfortune or damage to the above named or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above named delegate.

Early Bird Registration*

Regular Delegate £50.00 GBP
Student/Concession £25.00 GBP

Payments are processed securely via Paypal. You do not need a Paypal account to register, only a valid credit or debit card.Email events@everynation.co.uk with any payment queries.