Event registration

Antioch Holiday Bible Club '26

"Keepers of The Kingdom"

Date: 29 June - 3 July Time: 08:30 - 12:00 For children ages 4 - 13 years

Location: Antioch Bible Church, 310a Boundary Road, North Riding A.H.

Your contact details

We’ll use these details if the church needs to follow up about this registration.

First name

Preferred name / nickname

Last name

Gender

Birthday

Email address

Phone number

Attending Antioch Bible Church

Member of Antioch Bible Church

Use primary contact as an authorized adult for child sign-in/sign-out

Primary contact relationship to child registrants

Which church are you from?

Which church are you from? - Other details

Required when Other is selected.

For child registrants, add each parent or guardian who may sign them in or out. The primary contact can be one of these adults.

We’ll use this to help the church office link this family registration to household records.

Household name

Address line 1

Address line 2

Suburb

City

Province

Postal code

Country

I confirm that the information entered in this registration is correct.

I agree to the terms and conditions.

You’ll receive confirmation after the form is submitted.