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KAIROS APPLICATION

REGISTRATION & RELEASE OF LIABILITY FORM.

You are almost there! Complete the online application below and once submitted, we will get back to you soon!

PARTICIPANT DETAILS

Youth with a Mission, Brisbane

How would you describe your current relationship with God?
T-Shirt Size?

PARENT AND EMERGENCY CONTACTS

Parent only needed if under 18, but please still provide an emergency contact

Please provide an emergency contact below

REFERENCE FORM

You're almost there! We need you to get at least one reference from people with influence & insight in your life. This could be a Pastor, church leader or mentor. 
 
Go ahead and send them the following link to access the Online Reference Forms: 

​https://www.ywambrisbane.com/kairos-reference-form

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