VIC Mid Year Conference 2021 event registration

Select your category: *

I will be registering as: *

First Name *

Last Name *

Preferred Name

If you go by a different name instead of your official name, please type it here.

Date of Birth *

Gender *

Mobile Number *

Preferred Email *

As all future communication and emails will be sent to this address, be sure to check that it is correct.

First Name (Spouse) *

Last Name (Spouse) *

Mobile Number (Spouse) *

Email (Spouse) *

As all future communication and emails will be sent to this address, be sure to check that it is correct.

Child 1 Name *

Child 1 Age *

Please put their age as of July 9, 2021

Child 2 Name

Child 2 Age

Please put their age as of July 9, 2021

Select your university *

What year of study are you in? *

Are you graduating in the next 12-18 months? *

Are you primarily involved in the International Student Ministries? *

If yes, which country are you from? *

Which Power to Change worker/volunteer are you discipled by or knows you best? *

Who in Power to Change invited you or knows you best? *

Please select the option(s) that describes you. *

I am not a Christian but I'm exploring who Jesus is

I am a relatively new Christian (Christian for one to two years)

I have been a Christian for longer than two years

I have been to Power to Change events on campus

I am actively serving in my local church

I have participated in an evangelism hour (eg. Salt Hour, Walk-up, E-team) on campus with Power to Change

I have been a leader of an evangelism hour (eg. Salt Hour, Walk-up, E-team) on campus with Power to Change

I have been on a Summer Project with Power to Change

None of the above

If applicable, which church do you attend?

Do you have any dietary requirements or food allergies?

For food allergies, please include the severity.

Does your spouse have any dietary requirements or food allergies?

For food allergies, please include the severity.

Do any of your children have any dietary requirements or food allergies?

Please include the name of your child alongside the dietary requirement or food allergy. For food allergies, please also include the severity.

Do you have any medical conditions?

Please give details of any medical conditions that are or may be relevant to your attendance. If your condition requires medication, please specify if you are bringing your own.

Does your spouse have any medical conditions?

Please give details of any medical conditions that are or may be relevant to your spouse's attendance. If your spouse's condition requires medication, please specify if they are bringing their own.

Do your children have any medical conditions?

Please give details of any medical conditions that are or may be relevant to your child's attendance. Please indicate clearly the name of the child along with their medical condition. If their condition requires medication, please specify if you are bringing it for them.

Do you have a First Aid Qualification that will be valid until Saturday 10th July 2021? *

What kind of First Aid Qualification do you have? *

Please specify the type of First Aid Qualification you have, including CPR.

Emergency Contact Name *

Please put down your emergency contact. This should be someone who is not at the conference (but is in Victoria).

What is their relation to you? *

Emergency Contact Number *

Please ensure that this number is correct.

Provider

If you are an international student, please provide your overseas health cover details which may be used in the case of an emergency.

Policy Number

Your name as it is on the policy

If different from your name entered at the beginning

Contact Number (Including country code) *

Please put the contact details of a family member. If they are not in Australia, please include the country code.

Training Modules *

Preference(s) for Leading Training *

Preference(s) for Leading Training (Spouse) *

Please select any jobs/roles you would be interested in potentially helping out with

This is to gather expressions of interest but we will get in touch with you to discuss further.

Room Allocation

Please put the name(s) of people you would like to room with. We will do our best to put you with at least one of these people or someone you know.

If possible, would you like to room with early sleepers? *

Would you like to purchase a conference hoodie ($30 each)? *

The conference hoodie is only available for purchase if you register and pay by Monday 17th May.

Please check your measurements before making a selection. We will be placing the order based on the sizes submitted so there may not be spares to swap with if you have chosen the incorrect size. The most ideal way to pick the right size garment is to take a hoodie that fits you well right now and lay it down on a flat surface. Measure the width from underarm to underarm and the height from the top of the shoulder to the bottom of the hoodie in centimetres. Match those measurements up with those listed to select your size. If the size measurements are just above the size category then we recommend increasing the size up to the next level.

Please select your hoodie size *

Note: Changes to sizes can be made until the end of Monday 17th May by email to vicmyc@powertochange.org.au. Payment must also be received by this date for us to include you in the order.

Would you like to register as a Paper Delegate? *

To reduce the amount of paper printed for this conference you can select whether you would like to opt in as a paper delegate to receive a physical copy of the conference booklet and your training booklet. If you select no to this, you will be considered a digital delegate and will be sent a digital version of the conference booklet and training booklet (fillable pdf) which you can bring with you on a mobile device.

Please select your transport option for traveling TO MYC *

See website for more details about the transport options

How many passengers can you take? (Including luggage) *

What suburb will you be travelling from? *

Please select your transport option for traveling FROM MYC *

See website for more details about the transport options

How many passengers can you take? (Including luggage)

Please fill this out if different from or not filled out above

What suburb will you be travelling to?

Please fill this out if different from or not filled out above

Payment Method *

Support Account Number *

Cancellation and Refund Policy *

I acknowledge that I must pay by the deadline for my registration to be processed. If payment or the remittance advice of payment has not been received by the deadline, your registration will be considered incomplete (cancelled).

I acknowledge there are no refunds for voluntary cancellations after the deadline.

Please tick both boxes above to acknowledge you have read and understood the cancellation policy.

Photographs and videos taken at MYC may be used by Power to Change online or in future promotional material. If you would like to speak to someone about this or do not wish for your photos to be used in this way, please email vicmyc@powertochange.org.au after you submit your registration.

Privacy Statement *

©Power to Change ABN 25126098398 is an international faith based mission that connects people to Jesus and each other. We respect your privacy and will only use your information to do what you have asked (e.g. conference registration) and to keep you informed of our work. We will not pass your details onto unrelated third parties and we will allow you to opt out of our publications. See our Privacy Policy at www.powertochange.org.au

Please tick the box above to accept these terms and conditions.

Amount

Payment Method *

Select a payment option above Or pay by Credit Card

Credit Card Number*

Expiration Date*

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Card (CVV) Code*

Card Type*

Card Holder Name*

*

Verification code*

Registration

Personal Information

Overseas Student Health Cover Details

Conference Specific

Payment and Policies

Payment Information