Selah Conference Registration 2026 • Good Shepherd Baptist Church

Selah Conference | 12-15 April

Please register ALL people in your family group by using the 'Register Another Attendee' button for each additional person.

One family per form please.

This will assist us in all of our preparations for the conference, thank you!

About you

Title *

First Name *

Last Name *

Gender *

Male

Female

Please select the relevant category for this attendee: *

Adult / Young Adult / Teen

Child (Prep - Grade 6)

Infant (0-4yrs)

Attendee Details (Adult/Young Adult/Teen)

This registrant is an emergency contact and authorised to collect any children or infants in this family group

Yes

Mobile Number

Email Address *

Name of Church

Home State

Home Country

Church Role/Involvement

Attendee Details (Child: Prep - Grade 6)

Age (years) *

Medical / Allergy notes

Other relevant notes:

Parent Full Name *

Parent Mobile Number *

Attendee Details (Infant: 0-4Yrs)

Age (years) *

Medical / Allergy notes

Other relevant notes:

Parent Full Name *

Parent Mobile Number *

Nursery/Creche Consent

FEEDING - If you are a nursing mother, feel free to come to the nursery to feed your child. If your child is bottle-fed, do you wish to have the nursery staff administer the feed or will you be returning to the Nursery?

TOILETING - If your child requires nappy changes, our Nursery staff will contact you to perform these duties. There are toilets available for children that are toilet trained - please indicate if you consent to staff supervising your child in this area: