Registration | DOJ Perth

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Register Here for Perth

Summer School 2026

First Name*

Last Name*

Preferred Name

Birthday*

Day

Month

Year

Must be 17 by June 30 2026

Gender*

Religion*

Email*

Mobile*

Address*

Parent Contact Name (Only complete if under 18 years of age)

Parent Contact Email (Only complete if under 18 years of age)

Allergies / Comments

Dietary Requirements

Dairy Free

Gluten Free

Vegetarian

Other dietary requirements may or may not be available.

Please contact Marty Firth for further information on

0437 551 280.

Payment*

Deposit$50

Normal$400

Pay Cash$0

Choose My Own Below$0

Choose How Much to Pay

A$

© 2026 by Disciples of Jesus Covenant Community

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