Launch Conference • Coopers Plains Evangelical Church

First Name *

Last Name *

Mobile Number *

Which Ministry or Team are you a part of? (Please seperate multiple entries with a space) *

I can help supervise children for 1 session (90 mins). *

Tip: We are utilising the Baby/Creche rooms for those needing help with Child minding, will have age appropriate tv programme & toys available.

First Aid Training Certificate

First Aid Date Completed/Renewed

Medical Allergies/Dietary Requirements

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