Your Details
First Name
Last Name
Mobile Number
Email Address
Which service did you attend?
Mandurah
Rockingham
Demographics- select all that apply to you
Young Adults
Seniors
Men
Ladies
Adults
Families
Youth
Influencers Youth
Children
Kindy - Year 2
Year 3- Year 6
Creche
Day/Time
Monday
9:00am
10:30am
12:30am
2:00pm
Other
Tuesday
9:00am
10:30am
12:30pm
2:00pm
Other
Wednesday
9:00am
10:30am
12:30am
2:00pm
Other
Thursday
9am
10.30am
12.30pm
2pm
Other
Other (Please Specify)
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