ASA Chaplains Convention 2024

PERSONAL DETAILS

First Name

Last Name

Phone/Mobile

Home Address

Address Line 1

Address Line 2

City

State

Postcode

Country

EMPLOYMENT DETAILS

Conference [or entity]

School Name

Work Number[s]

EMERGENCY CONTACT INFORMATION [Person 1]

First Name

Last Name

Emergency Contact Number

EMERGENCY CONTACT INFORMATION [Person 2]

First Name

Last Name

Emergency Contact Number

TRAVEL DETAILS

Transport

ACCOMMODATION DETAILS/REQUESTS/CONSIDERATIONS

Twin-share accommodation. Please indicate the person/colleague you would love to room with [indicate your top 3 people options]:

DIETRY DETAILS

Food Allergies or Special Requirements [if any]:

MEDICAL CONDITIONS

List Medical Conditions [if any]:

Commitment Statements

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ASA is collecting this information to assist with planning a successful and safe event. To this end, all your personal details will be kept strictly confidential.

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In case of an emergency I give my consent for an ambulance to be called.

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Photos and videos will be taken during the camp and may be used for promotional and informational purposes. Please contact us if you have any further questions concerning this.

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The ASA Chaplains Convention is run by the Seventh-day Adventist church, and as such, all those attending will be required to act and speak in a manner that will uphold the Church’s Christian values and beliefs.

Registration Fee

Registration Fee $575.00

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GOT QUESTIONS? Contact Info: murrayhunter@adventist.org.au | 0466481060