Please fill in all your details on the registration form below. 

Full Name (required)

Contact Number (required)

Your Email (required)

Your Church (required)

Youth Pastor

Number of Individuals attending(required)

Name of Individuals (required)

Specific Needs within Group (Allergies/ Disabilities)

Please select event: Johannesburg: 28 - 30 AprJohannesburg AlumniDurban: 19 - 22 JulCape Town: 2 - 5 Oct

Please select payment method: Bank DepositEFT

Account Details: FNB NPC Account
Account Number: 62567972958
Branch Code: 250062

Reference: LTC Jhb / LTC Dbn / LTC CT, Name Of Youth Pastor & Church Name