Seed Registration

I am attending Summit as a:(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

Post Code(Required)

ZIP / Postal Code

What industry do you work in?(Required)

What is your job title?(Required)

What is the Church you regularly attend?

Dietary Requirements(Required)

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If other, please describe

Summit Participant(Required)

This is for full registration with all meals, including Thursday night accommodation at Mary MacKillop Place

Summit Cohort Participant(Required)

This is for full registration with all meals, including Thursday night accommodation at Mary MacKillop Place

Summit Contributor(Required)

This is for full registration with all meals, including Thursday night accommodation at Mary MacKillop Place

I'd like to share a room with:

If you don't have a preference, leave blank

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registration Fee Total

IF you have been invited to attend as a Summit Cohort and have chosen the twin share accommodation, click submit without entering credit card details at the next step. Otherwise, please proceed to payment.

Credit Card

Phone

This field is for validation purposes and should be left unchanged.

2023 Summit Registration