EQUIP Conference Registration • Coopers Plains Evangelical Church

First Name *

Last Name *

Mobile Number *

Email Address *

I am in year 7-12

NO

YES

Tip: The event organisers support young women by making this event free for them.

Medical Allergies/Dietary Requirements

Tip: Please bring a plate to share for morning tea! Fridge space / Microwave is available. Coffee and tea will be provided in church.

Additional Comments (If needing to bring any children, please provide details)