1st - 5th July TAX INVOICE ABN 37 002 745 879 REGISTER Allphones Arena, Phone: + 61 2 8853 5251 Fax: + 61 2 9894 6454 Email: hillsongconference@.com Web: www.hillsongconference.com for Hillsong 2013 Mail: PO Box 1195 Castle Hill NSW 1765 Australia One registration form per person. Please photocopy the form if registering more than one person.

SECTION 1 – ConfERENCE GROUP leader SECTION 4 – Adult Electives Register together to sit together (If part of group/family, please specify a Group Leader) CHOOSE ONE ONLY (ie: not one from each stream) Will you be attending with your family or a group? Yes No Please select ONE option from the below electives: If yes, please nominate a group leader: Empowering Leadership Biblical Studies Healthy Home Group Leader First Name: Business & Management Preachers School Group Leader Surname: Children’s Ministry School Senior Pastors School Your nominated Group Leader must be a delegate in your group who you give permission to access your Church Life & Ministries Team Pastors School registration information and make decisions on your behalf regarding your registration for the conference. Church Planting The Spirit Led Life Communications & Events Youth Ministry School Please tick if you would like to receive: A Hillsong Conference promotional pack for your group or church Creative Worship Creative Pastor & Leader The Songwriter A range of accommodation ideas from JC Travel Professionals (Hillsong Conference partners with JC Travel Professionals for all our travel needs) Creative Presentations The Vocalist Dance The Worship Leader Production - Audio & Lighting TV & Media SECTION 2 – Details of Person/Child Registering The Musician Title:  Mr Mrs Miss Ms Ps Rev Dr Other: BECAUSE WE CAN First Name: Surname: Body Soul Spirit School Mercy School Address: Evangelism School Missions School Justice School City/Suburb: State: SECTION 5 – Type 2 July – 9 July – 1 Oct’12 – 1 Feb – 29 Apr – Country: Zip/Postcode: of registration 8 July’12 30 Sept’12 31 Jan’13 28 Apr’13 1 July’13 Ph(Wk): (Mob/Cell): Single Adult $199 $239 $259 $279 $299 Ph(Hm): Group Adult (10 or more) $199 $219 $229 $249 $269

E-Mail: Kidsong Playgroup $ 20 $ 25 $ 25 $ 25 $ 30 (Please supply your email address so we are able to contact you regarding your registration) (1 – 3 yrs of age) Kidsong (3 yrs and toilet $ 40 $ 60 $ 60 $ 60 $ 75 Gender: Male Female trained - Grade 6 at School) Age:  1-4 5-11 12-15 16-18 19-25 26-35 36-50 51+ JAM Fuel $ 59 $ 79 $ 79 $ 79 $ 99 (Grades 7 - 9 at School) JAM Wildlife $ 59 $ 79 $ 79 $ 79 $ 99 SECTION 3 – TELL US A BIT MORE ABOUT YOURSELF (Grades 10 - 12 at School) We’d like to know more about you and your church, so we can continue to streamline and develop the conference to meet your needs. Translations: $ 55 Language: If you require translation, it will cost $55 per person for the entire week. Please Note: Limited languages and seats Do you attend a church? Yes No are available and only in main sessions. JAM and KIDSONG sessions are in English only. If yes, Church Name: SECTION 6 – HELP 2 July – 9 July – 1 Oct’12 – 1 Feb – 29 Apr – Senior Pastor/Minister’s Name/s: SOMEONE IN NEED 8 July’12 30 Sept’12 31 Jan’13 28 Apr’13 1 July’13 Church Postal Address: Your gift of sponsorship will help those in financial hardship join us at Hillsong Conference. City/Suburb: State: Adult Registration $199 $239 $259 $279 $299 Country: Zip/Postcode: Sponsorship Amount $ 20 $ 50 $100 Other: $

Church Denomination: PLEASE NOTE: We are unable to process your SECTIONPayment 7 –M PAethodYMEN T registration without your full details and payment. ACC, AOG, Anglican, Apostolic, Baptist, Brethren, Catholic, Cash Cheque/Money Order (Made out to Hillsong Conference in AU$) Charismatic, C3, Christian Outreach Centre, Church of Christ, Foursquare/Elim, Independent, Lutheran, Methodist, Pentecostal, Visa Mastercard Amex Presbyterian, Salvation Army, Seventh Day Adventist, Uniting, Other Credit Card Number:

If from : City Campus Hills Campus South West Campus Brisbane Campus Expiry Date: Cardholder’s Name: Ext Service: (please specify) / Please tick ANY of the options below that describe you and your involvement at your church: Cardholder’s Signature: Amount:

Senior Pastor/Minister, Team Pastor/Leader, Church staff, Volunteer at your church, Don’t attend a church, Youth Ministry, Children’s Ministry,

Worship Pastor/Leader, Musician/Vocalist, Production / TV / Events, OFFICE USE ONLY M F W P R S O Code: HS13A Social Justice/Community, Congregation Member, Other DR CB GN

BN RN ID EB SECTION 8 – Kidsong Playgroup (1 – 3 years old) SECTION 10 – JAM (Grades 7 - 12 at school) (Must be accompanied by a full-time carer at all times) Please select which JAM program you will attend: Carer’s First Name:  Fuel (Grades 7 - 9) Wildlife (Grades 10 - 12)

Carer’s Last Name: Age in July 2013: Date of Birth: / /

Ph: Mob/Cell: Grade at School in 2013:

Please note: Your Kidsong registration includes the night program. Name of School: You, (parent/guardian of the said child ‘You’), hereby acknowledge and accept that whilst every reasonable precaution will be taken by Hillsong Church, its staff, volunteers, agents and servants, (‘Hillsong’), to ensure Youth Pastor’s Name (if applicable): the good welfare of and protection of all children who register and attend Hillsong Playgroup, Hillsong is not responsible for any accident or misfortune, injury or loss to person or property whatsoever, that may be suffered by Does your child have any allergies?  YES  NO any child or person attending Hillsong Playgroup. You hereby agree to release and to defend, indemnify, save and If yes, please specify: hold harmless Hillsong against any and all liability, loss or damage, including any costs or expenses such as legal & attorney’s fees, (on a solicitor client basis), paid or incurred by or on behalf of Hillsong by reason of any act, fault, omission, negligence, breach or otherwise by Hillsong. Does your child have any medical problems or conditions?:  YES  NO Date: / / Parent/Guardian Name: If yes, please specify:

Signature: Paracetamol Consent: I hereby give permission for the First Aid Staff/St John Ambulance to administer SECTION 9 – Kidsong (3yrs & toilet trained - Grade 6 at School) paracetamol to my child if deemed necessary by the Staff:  YES  NO

Child’s Age in July 2013: Child’s Date of Birth: / / JAM (Fuel & Wildlife): Medical treatment Consent: I being the parent/guardian of the said child understand that whilst every precaution will be taken to ensure the good welfare and protection of my child, Hillsong Church, Grade at school in 2013: (please tick appropriate box) its staff and volunteers acting on behalf are hereby released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. I hereby give permission to the First Preschool - 3 years old & toilet trained Grade 2 Aid Staff/St John Ambulance to ensure proper treatment for my child. I understand that every effort will be made to Preschool - 4 years old Grade 3 contact me before instituting such procedures. I agree to pay all such doctor, ambulance and hospital fees incurred on behalf of my child. I have attached a list of any health information about my child that the First Aid Staff need Preschool - 5 years old Grade 4 to know. Involvement Consent: I being the parent/guardian of the said child hereby give my consent that my son/ Kindergarten Grade 5 daughter may participate in any activities they choose over the course of the JAM, whether it is games, jumping castles, basketball, skateboarding etc. FUEL YRS 7 - 9 ONLY (AGES 12 - 15): The Fuel program will provide Grade 1 Grade 6 supervision at a parent pick-up point at the conference venue. No child will be allowed to leave the venue until they are picked up by a parent/guardian. It is an essential term of Fuel registration that where parents will not for any Please note: Your Kidsong registration includes the night program. reason collect their child from the supervised parent pick-up point then Hillsong Church, its employees, servants and volunteers as organisers of Fuel take no responsibility for any child leaving the supervised site for whatever Does your child have any allergies?  YES  NO reason. I understand and agree to be bound by this policy. WILDLIFE YRS 10 - 12 ONLY (AGES 16 - 18): If yes, please specify: Child Release: Children attending the Wildlife program will be released at the end of program without parental/ guardian supervision. I understand that from the time my child leaves Wildlife, Hillsong Conference is not liable for anything that my child may do or any injury, loss or damage that my child may suffer.

Does your child have any medical problems or conditions?:  YES  NO Date: / / Parent/Guardian Name: If yes, please specify: Signature:

Parent/Guardian Contact Ph During Conference: Paracetamol Consent: I hereby give permission for the First Aid Staff/St John Ambulance to administer SECTION 11 – TERMS & CONDITIONS paracetamol to my child if deemed necessary by the Staff:  YES  NO CANCELLATIONS We understand that people’s circumstances can change and provide the following alternatives If you have any custodial issues you need to inform us about, please email: to assist you. Cancellations or transfers (subject to availability) can be arranged, by writing to the Hillsong Conference Office before 1st June 2013. You are able to transfer your registration (only once) to another person or [email protected] to the following conference year, at no extra cost. Registrations can be cancelled and refunded for an administration cost of $55 per person. Please note that refunds are not available for transferred registrations. From time to time, Involvement Consent I, being the parent / guardian of the said child, hereby give my consent that my son there may be a need for special consideration of your circumstances in regards to this policy. If this is the case, / daughter may participate in any Kidsong activities they choose over the course of the conference, whether it is please contact our office to discuss this further. Your registration and payment confirm that you have accepted this games, jumping castles, basketball, etc. Supervision Policy Kidsong will provide adult supervision while policy. GROUP REGISTRATIONS (1) For those who have registered 10 or more adults and have not provided your child is in our program and all diligence will be made to ensure they are in a child-safe and child-friendly full details of each group member, these details must be received by 31st March 2013, or those registrations will environment. I being the parent / guardian commit to picking up my child from the Kidsong parent pick-up point at be considered invalid. (2) In order to qualify for reserved seating, groups must exceed 50 registered adult delegates the conference venue within 30 minutes of the allocated pick up time. All children will be there and will not be able before the 1st May 2013. (3) For groups of 20 or more, you will not be able to merge your group with another. to leave until parents pick them up. Medical Treatment Consent In the case of an emergency, I hereby SEATING: If you require special seating (for medical conditions) for the conference please put your request in give permission to the First Aid Staff to ensure proper treatment for my child. I understand that every effort will writing with supporting documentation by 1st April 2013. Your registration and payment confirm that you have be made to contact me before instituting such procedures. I agree to pay all such doctor, ambulance and hospital accepted this policy. VISAS If you require assistance with a Visa to attend the conference, please contact the fees incurred on behalf of my child. I have attached a list of any health information about my child that the First Conference Office in writing by 1st May 2013. No assistance will be given after this date. Assistance will come Aid Staff need to know. Permission to be Photographed or Filmed I give my permission for my in the form of a confirmation letter sent to you via fax and Hillsong Conference will notify Australian immigration child to be photographed or videotaped. I understand that the image may be displayed in the church publications, on your behalf of your intention to attend Hillsong Conference 2013. TRANSLATIONS Please note that ALL church buildings or website. I understand that as a precaution my child’s name will not be published or linked with ADULT sessions will be in ENGLISH. If you require translation, it will cost $55 per person for the entire week. All photographs. Transportation Consent I hereby give permission for the transportation of my Primary translation requests must be received prior to 15th May 2013. Please note: limited languages and seats available, aged child via bus to and from external venues that will be used by the Kidsong program. I further indemnify and only in main sessions. JAM and KIDSONG sessions are in English only – translation is not available for these Hillsong church, their staff and leaders from any accident, loss of belongings, injury or death that may arise sessions. GST The registration price of the conference does not include GST as the conference is considered a while transporting my child between venues. Liability Waiver I, being the parent / guardian of the said ‘Religious Service’. Should you require a tax invoice for your records, please contact our office. DISCLAIMERS child, understand that whilst every precaution will be taken to ensure the good welfare and protection of my child; The conference experience will be captured in both photographs and video. Hillsong Conference reserves the right Hillsong Church, its staff and volunteers are hereby released from any and all liability in the event of an accident to use this material for promotional purposes. Hillsong Conference recommends that you confirm your registration or misfortune, damage or loss that may occur to the child and/or their property, unless it is due to our negligence. with our office prior to booking any flights &/or accommodation. The Hillsong Conference Office does not accept any responsibility for losses incurred for flights &/or accommodation booked for the conference.T he organisers Date: / / Parent/Guardian Name: of Hillsong Conference reserve the right to change any of the published conference details without notice and have the final say on any matter relating to the conference. PRIVACY POLICY Our privacy policy is available at www. Signature: hillsong.com - we may utilise your information to notify you of news at Hillsong and provide it to third parties who help us provide services to you. To request access to your information, fax +61 2 8853 5257 or email: privacy. [email protected]. The Hillsong Conference Office is unable to process your registration without full registration Parent/Guardian Contact Ph During Conference: details and payment. Please tick this box if you do not wish to receive promotional material from Hillsong.