Name

First Name

Last Name

Email

Phone

(###)

###

####

Short Bio

approx. 50 words about yourself

Workshop Title

Please provide a title for your workshop

Workshop Details

Please provide a description of your workshop (approx. 50 words)

Technical & Logistical Needs

(e.g. big screen, white board, printing, etc)

Images and/or videos of people attending soul.conference and/or participating in the activities may be displayed onscreen at soul.conference. Images and/or videos will be collected for future promotional, ministry and/or other purposes, including publication on Soul Survivor’s website and on Soul Survivor’s official social media accounts.

I agree

I do not agree

Please provide your Working With Children Check number

By submitting this form, you agree to abide by Soul Survivor Child Safe Policy and Procedures. This policy can be found on our website: https://www.soulsurvivornsw.org.au/safety

We’re excited to have you on board for a workshop at Conference 2025!

For any questions, email [email protected]