REGISTRATION FOR
#FIREZCAMP2018

We’re excited to have you on board for this life-changing camp, so let’s get started!

Disclaimer:
Please note that deadline for registration is on 1st November 2018.

Section 1: Personal Info


MF


VegetarianNon-vegetarian

Section 2: Parent/Guardian Info


RM100/pax for Normal Rate (1st July - 1st Nov 2018)

Section 3: Payment

Bank transfer (ATM / online) can be made to our Public Bank account.
Name: City Light Church Penang
Acc. No: 3177874802

** NOTE:

  • In the Transaction Description, please state "FIREZ [name]" (e.g: FIREZ Erica).
  • After making payment, upload your Transaction Receipt in the Upload section below.
  • Only full payment will be processed and accepted as registration.
  • We will not process your registration if we do not receive your proof of full payment.
  • Upon successful registration, you will receive an email from us confirming your registration. For further enquiries, email us at firezcamp@gmail.com or contact [011-39175107].
 

*Note: Your registration for #FirezCamp2018 is only confirmed once the registration form and payment is completed. We will email you upon confirmation of payment and registration.

For payment via cash, print out this form and fill in your details. Please head to our office at City Light Church, Tuesdays - Saturdays, 9.00am - 6.00pm to complete your registration (Office closes on weekends and public holidays).

For further enquiries, email us at firezcamp@gmail.com or contact [011-39175107].