First Name
Surname
Phone Number
Email Address
Which Program would you like to attend?
Accelerate Centres
Kids Club
Power Camps
Sport
VIP
How did you hear about Hillsong Africa Foundation?
Social Media
Email
An existing Participant in a HAF Program
Hillsong Church
Word of Mouth
Other
Emergency Contact Name & Surname
Emergency Contact Relationship
Emergency Contact Phone
Allergies:
Chronic Health Challenges:
Disability
Yes
No
I'd rather not say
Address Line 1
Address Line 2
Area
Province
Please select...
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Date of Birth
Gender
Male
Female
Race
Asian
Black
Coloured
Indian
White
Not listed here
Prefer not to say
As an Organisation, we need to collect this data. If you would rather not indicate, please leave blank.
Which Country were you born in?
Which Country would you like to participate in?
South Africa
Kenya
Do you attend a church regularly?
Yes
No
Do you attend Hillsong Church?
Yes, in Africa
Yes, Outside of Africa
No, I'm part of another Church
Which Hillsong Church Africa Location do you attend?
Braamfontein
Bryanston
Cape Town City
Centurion
Century City
Durban
Durbanville
Gugulethu
Lagos
Mauritius
Mitchells Plain
Nairobi
Online
Plettenberg Bay
Prisons SA
Somerset West
Southern Suburbs
Stellenbosch
West Coast
Wonderboom
Which Church are you part of?