IMS 2024 Youth and Adults Registration

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Name

First

Last

Gender

Date of Birth

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mobile number

Home phone number

On 1 January 2024 will you be:

Emergency contact name

Next of kin or relative

Emergency contact phone number

Is this your first IMS?

Your occupation

Your parish / youth group / community

Please tell us a little bit about yourself

(e.g. family, hobbies)

How did you hear about IMS?

What do you hope to get out of IMS?

What previous experience have you had with Christian camps, retreats, youth groups or formation?

Do you have any health conditions (including psychological conditions)?

Do you have any dietary requirements?

Please specify

Do you take any medication?

Please specify

Do you have any special requirements (e.g. relating to accommodation) or other important information we should know?

Please upload a headshot of yourself

Click or drag a file to this area to upload.

These are for use only by our admin team for safety purposes, so we can easily identify participants.

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