Title

First Name

Last Name

Accompanying family members (each individual must complete a separate registration form in addition to this information)

Total number of family members attending

0 1 2 3 4 5 6 7 8 9

Sex

Female Male

Date of Birth

Age

Marital Status

Married  Single  Divorced  Separated  Widowed 

Contact Information

Base or Ministry

E-mail

Phone (Landline)

Phone (Mobile)

Mailing Address

City

State

Country

Arrival and Departure Information

Note : If arrival and departure details are not yet established please email nlmmelbourne@gmail.com or phone Ruth on (03) 9831 2400 with details ASAP when details are established. Thank you.

Note : DO NOT GO TO AVALON AIRPORT....go to TULLAMARINE

Date of Arrival

Flight Information / Method of Arrival - Please include Flight details and time of arrival

Date of Departure

Flight Information / Method of Departure - Please include Flight details and time of departure

Pickup Required ?
($20 Fee Applies)

Drop Off Required ?
($20 Fee Applies)

Meeting Confirmation

Please highlight the meetings you will be attending

Base / Ministry Leaders Meeting - Saturday 1st Nov lunch through Sunday 2nd (Must be nominated by your base or ministry leader to attend)

Australian National Leaders Meeting – Open to all YWAM Australia staff carrying leadership of any kind

Executive Meeting – Starting Friday morning October 31st (National Executive Only)

Other Information

Special Medical or Dietary Needs

Accomodation Requests

* If attending with friends list preferred room mates and we will do our best to accommodate your preferences but understand that it may not be possible in every instance
 

Which Breakout Group would you like to be a part of?

- Choose One - Training Mercy Ministries Evangelism Backbone Missions Youth Street  Breakout groups meet throughout the week to forge relationships with like minded people from different bases, connect and share resources, discuss new initiatives, and brainstorm new ideas together.

Fee Information

Please tick all the boxes which apply to you. The total will be given to you at the bottom of the page.
 

National Leaders Meeting Fee
(Fee for adults - See bottom of page for Childrens Pricing)

$210 per person for conference (speaker costs, hospitality, food)

Executive Meeting Fee
($20 per extra day you will be staying)

- Choose Days - 1 2 3 4 5 6 7 8 Please choose the number of days extra accomodation ou will be needing

Accommodation
All prices for accommodation are per person and include accommodation from Sunday afternoon to checkout time on Saturday morning. There is no discount for early departures. If you wish to extend your stay or arrive early, you will need to arrange your own food and accommodation.

Limited Accommodation is available, so bookings will be taken on a first registered first served basis.

Additional Meetings
Base Leader/Major Ministry Leaders Days: Starts Saturday Nov 1 at lunch time and concludes Sunday evening

$20 Food and Accomadation On base

Childrens Pricing
For the duration of the national leaders meeting and includes meals. Note that Childs Accomodation is free.

 
Total Fee $

Payment Options

There are two available payment options. The preferred option is to use the YWAM Melbourne online payment form to pay with a credit card.

 
Pay Online with Credit Card

 
Pay with Cheque or Money Order