ACTIVATE: Potential & Purpose
Pre-registration form

Two day event details:
-14th June , Day 1 registration opens at 4 pm
-15th June , Day 2 registration opens at 8 am

Event address: Strandfontein High school Hall

Contact us: 0616282058 (Danica) 082042771 (Nigel)
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Name & Surname *
Age *
Gender *
Area *
eg. Strandfontein, Ottery or Muizenberg
Contact number
Email address
Will you be attending both days ? *
please select one or more
Required
How did you find out about this event? *
Would you like to hear about future events? *
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