Youth Registration

Alive/Pulse youth registration

Tip: Please tick Youth

Tip: e.g Town3610, Rural3681, Waihi Beach 3611.

Medical Information. Are there any Medical information we need to know about? and is your child on any medication?

Thank you for taking the time to fill out the form. This is to ensure that we have your contact details to keep you informed and to allow us to communicate with you. 

My Contact details

Ernani [Nani] de Ocampo

Youth Pastor

Waihi Baptist Church 

3Gimour Street

(07) 863 7320

(021) 127 0635

youth@waihibaptist.org.nz