top of page

Home
About Us
Our Belief
Our Ministries
Livestream
Artios
Perth
Kununurra
Bunbury
Ballarat
Events
Music
Online Ministry
New Building
Donate
Visit Us
Directory Page
More

Use tab to navigate through the menu items.

ASSETS 1 copy.png

ASSETS 1.png

Sorry, but this form is now closed.

Parent/Guardian Details

Please note that this person is also the emergency contact for your children

First name(Required)

Last name(Required)

Phone

Email(Required)

Child 1 Details

Child 1 Full Name(Required)

Child 1 Date of Birth(Required)

Day

Month

Year

Child 1 Allergies, Medical Requirements and Notes

Are you registering a second child?

Yes

No

I consent to recieve marketing and event information details via text message or email

I consent to photos/videos to be taken of my child for internal and marketing use

ASSETS 1 copy.png

ChatGPT Image Aug 11, 2025, 12_16_29 PM.png

ASSETS 1.png

Perth
Pentecostal
Assembly

+61 (0) 467786163

Locations

Perth

Bunbury

Ballarat

Kunnunara

Online

contact@ppachurch.au

Thanks for submitting!

Get in touch

©2026 by Perth Pentecostal Assembly

bottom of page