Custom Forms | Girlfriends Confirmation Form

Thank you for registering for the Girlfriend's Women's Conference.

Please provide the details requested, ensuring that you fill out the form as completely as possible so we can serve you fully.

Personal

Title *

Please choose a title

Name *

First name *

Please enter a First name

Middle name(s)

Surname *

Please enter Surname

Email *

Please enter a valid email

Mobile *

Please enter some text

Are you a Member of New Wine Church? *

Please select an option

Your Dietary Preference *

Please select an option

Do you have any allergies? *

If not, please put N/A

Please enter some text

Do you require childcare at the event? *

If Yes, Please Provide the Details of the Child Below.

Please select an option

CHILDREN DETAILS (please select the number and click SET)

Number of Children You are Bringing

BREAKOUT SESSION

Please select the topic you would be interested in for the breakout session? *

Please select an option

Thank you for completing the form.

We look forward to seeing you on Saturday 29th March 2025.

Girlfriends Confirmation Form

Personal

CHILDREN DETAILS (please select the number and click SET)

BREAKOUT SESSION

Just sending that for you!

Your selections

Select Branches

Girlfriends Confirmation Form

Personal

CHILDREN DETAILS (please select the number and click SET)

BREAKOUT SESSION

Help Me

Some People Were Missed

Just sending that for you!

Your selections

Select Branches