Alpha Spheres Trip - QLD
Have you purchased your conference ticket via the Alpha Spheres Website?
Yes
No
Do you understand your contribution to flights will be estimated at $100-$150 and will be required to be paid to Village Church before deprture for the conference?
Yes
No
First Name
Middle Name
Last Name
Date of Birth
Gender
Male
Female
School Grade
-- None --
Nursery/Pre-school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Mobile Number
Does your young person have Photo ID?
Emergency Contact Name
Relationship with young person?
Emergency Contact Phone Number
Medicare Number is available
Does your child have any medical conditions? Please add all details:
Dietary requirements?
Name of person giving permission?
I giver permission for my child to travel with Village youth to the Spheres Conference on the Gold Coast 2026, including air travel and group transport.
Yes
No
In the event of an emergency, I authorise the leaders of Village Youth to seek medical treatment for my child if I cannot be contacted.
Yes
No
I understand my child is expected to follow the instructions of the leaders and behave in a way that reflects the values of Village youth. I understand that serious misconduct may result in my child being sent home at my expense.
Yes
No
I giver permission for photos/videos of my child to be used for church and youth ministry purposes.
Yes
No
Digital Signature of parent or guardian:
Date signed by parent or guardian:
Submit