Hearts Aflame 2025: Staff Registration Form

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This registration form is for Staff Only. This includes Lecturers, speakers, helpers, religious, anyone helping behind the scenes at Hearts Aflame 2025. Please refrain from filling out this form if you are not attending Hearts Aflame 2025 in any of these capacities.

If you will be attending Hearts Aflame 2025 as a lecturer, please have your personal bio and lecture blurb ready to submit as part of this form.

Note: If you are not attending Hearts Aflame as Staff please fill out the Guest/Visitor Rego form instead.

All Staff are required to be police vetted according to our safeguarding policy and sign our code of conduct.

Prefix

First Name *

Last Name *

Date of Birth *

YYYY

Diocese / Religious Order *

Are you driving or flying? If you are flying, will you need to be picked up from the airport? *

Driving

Flying, pickup needed

Flying, no pickup needed

Arrival date & time *

YYYY

Time

Departure date & time *

YYYY

Time

Have you attended Hearts Aflame before? *

Yes

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