Registration

Accommodation is now full! No more full time registrations with accommodation will be accepted!

You can be placed on a waiting list for accommodation. Please register for full time with no accommodation, and specify in the travel details section that you want to go on the accommodation waiting list.


* = Required

Personal Information
Attending as * YSA
Chaperone
First Name *
Last Name *
Preferred Name (to go on your ID card)
Your Email *
Gender * Male
Female
Date of Birth *    
Are you a Student? * Yes
No
ID Photo * (PNG, JPEG or GIF - max size 1MB)
Stake *
Ward *
Address *
Suburb *
Postcode *, State *
(Please note, if you are registering from NSW, ACT or Qld, you will require special permission from the Area Presidency to attend Convention in Adelaide. Feel free to register, but we recommend waiting for personal contact and final approval before making travel arrangements and sending payment. Please let us know via the contact form when you have approval.)
Phone * (incl. Area code - eg (08) 8111 1111)
Mobile * (eg 0411 111 111)

Friends
Room - Who would you like to share with?
Activities - Who would you like to be grouped with? 1 or 2 people only

Emergency Contact
Name *
Relationship *
Phone #1 * (Same formats as above)
Phone #2 * (Same formats as above)

Your Medical Details and Conditions

(Leave blank if not applicable)
Medicare Number * (10 or 11 digits, no spaces - eg 1234567890)
Ambulance Cover? * Yes
No
Convulsions/Seizures
Allergies
Heart Condition
Hearing/Vision Problems
Respitory Disorder
Diabetes
Physical Conditions that limits activity
Medications
Surgery or Serious Illness in the past year
Haemophilia
Other (Specify)
Dietary Requirements

Convention Attendance
Are you attending full time or part time? * Full Time ($335 + $20 key deposit)
Full Time, no accommodation ($220)
Part Time
If you are attending part time, which activities do you plan to attend? (See Program for more details)
Saturday ($30) - Registration Activities, Dinner, Social Dance Lessons and Dance in the Marquee
Sunday ($25) - Workshops, Lunch, Church Meetings, Fireside & Testimony Meeting, Supper, Don't Forget the Hymn Lyrics
Monday Day ($50) - Explore Adelaide and Lunch
Monday Evening ($30) - Dinner, "Impromptu Scenarios", Supper
Tuesday Day ($20) - Service, Lunch, Talent Show, Dinner
Tuesday Night ($50) - Convention Ball
Wednesday Day ($25)- Beach Activities, Lunch, Dinner
Wednesday Night ($30) - New Year's Eve Party

Temple Service
Would you like to attend the temple if possible on convention? Yes
No
If yes, which would you like to participate in? Baptisms
Endowment
Assist in Baptistry (Endowed Members)
Will you bring your own Temple Clothes and Family File names? Temple Clothes
Family File Names

Blood Donation
Would you consider donating blood as part of service on convention? You should not donate after September 27th if you plan to donate on convention. Yes
No
Have you donated blood before (Check for yes)
If you have donated before, what is your donor number? (Leave blank if you don't have one)

Convention Polo Shirts
Would you like to buy a convention Polo Shirt for an extra $20? * No, thanks
Yes Please, in the following size!
8 (Women's dress size)
10 (Women's dress size)
12 (Women's dress size)
Small (Approx women's dress size 14)
Medium
Large
XL
XXL
XXXL
XXXXXL

Additional Personal Information
During convention, a slideshow will be running with information about all the YSA. Please fill in the following information to help others get to know you!
Have you served a mission? Where?
Current occupation or field of study
Favourite Scripture
Who is your hero?
Favourite quote or a quote that describes you
Goal for Convention

Travel Details
Do you intend to bring a car to convention? *Yes
No
Arrival/Departure Details
If you require assistance or transport to or from St. Mark's, please give details of flight numbers and times. If you don't have these details yet, plase let us know when you do. (Leave blank if not applicable)		 Arrival in Adelaide

Departure from Adelaide

Rules and Standards
I have read the rules, guidelines and standards for attendance at convention and agree to be bound by them. *
Adelaide YSA Convention
December 27, 2008 - January 1, 2009