The Australian Fellowship of Evangelical Students in Western Australia
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MYC 2012
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Registration
MYC 2012
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MYC 2012 Registration
Requirements
*
I am 18 or over
You must be 18 or over to register onilne. If you are not yet 18, please download and print a registration form and send it in with your parent/guardian's signature.
Name
*
First
Last
Preferred First Name
Male/Female
*
Male
Female
Address
*
Street Address
City
State / Province / Region
Zip / Postal Code
Email
*
Phone
Uni
*
Curtin
ECU
Murdoch
Notre Dame
UWA
Other
Other uni
*
Course
*
Year at uni
*
= 1 if you're in first year at uni
Emergency Contact
*
First
Last
Emergency Contact Phone
*
Diet, allergy, or medical info
Other info
Paying by
*
Internet Deposit
Cheque
Cash
Details about payment will be emailed to you after you register.
Phone
This field is for validation purposes and should be left unchanged.
Campus groups
Curtin Christian Union
ECU Christian Union
Murdoch Christian Union
Notre Dame Christian Union
UWA Christian Union