Business As Mission Seminar Registration Form

Email*

First Name

Last Name

Phone Number

Street address*

City*

State/Region*

Country/Region*

Mobile phone number*

How did you hear about YWAM Nelson?

Have you ever been involved with Youth With a Mission before? If yes, please detail below:*

What is your motivation for applying for this course?:*

What would you like to learn from this course?*

Would you like to book accommodation on site (if available)?*

Would you like to include meals in your registration?*

If yes, do you have any dietary restrictions or allergies?*

Emergency information - who should we contact in case of emergency?*

Any final comments before submitting your application?*