Participant form

Weekend: CHOICE 80 Yogyakarta (16 Jan 26 - 18 Jan 26)

Full name: *

Nickname: *

Place of birth: *

Date of birth: *

Day: *

Month: *

Year: *

Gender: *

Male

Female

Place of baptism:

Date of baptism:

Day:

Month:

Year:

Address: *

Where you stay at the moment.

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City: *

Postal code: *

Home phone number:

Home phone number:

Mobile phone number: *

Mobile phone number: *

Your WhatsApp number.

Email: *

Your most frequently used email address. We will only send important information regarding the weekend you are participated in.

Parish: *

Parish where you stay at the moment. If you are not a Catholic, please enter your religion.

I am in good mental health and I do not suffer from any psychological disorders

I am an active member in my church

Name of church activity: *

Multiple activities separated by comma.

Occupation: *

What you do for a living.

I have friends or family participating the same weekend

Full name of your friends or family: *

Multiple names separated by comma. Individual form submission is still required.

BANK RAKYAT INDONESIA (BRI)

0029-01-114602-50-6

TITI SURANI SALES FRANSISCA

Rp. 250.000,-

CASH BACK 50.000 Peridode 10 Nov s/d 10 Des 2025

50% refund for cancellation up until 1 week prior to departure.
No refund afterwards.

Picture: *

Upload your picture.

Identification card: *

Proof of payment: *

Upload your proof of payment.

Briefing point on Monday, 12 January 2026, 10:00:

di Aula Atas

Venue:

Facilities of the Venue:

Shared bedrooms for up to 2 people (male and female will be separated).
A Bed, a bed sheet, a pillow, and a blanket for every person.
Shared bathrooms with hot water (male and female will be separated).
A dining hall.
A function room.
Ruangan ber-AC.

Please BRING your own:

Comfortable clothes appropriate for Sunday Mass.
Sweater or warm clothes.
Trousers.
Slippers.
An umbrella (in rainy season).
Personal items for 3 days 2 nights stay-in.
Personal toiletries: towel, shower gel or body wash, shampoo, conditioner, etc.
Personal medication.
Personal drinking bottle.
Alat Tulis Pribadi.

The following meal will be provided on the Venue:

Dinner for Friday evening.
Breakfast for Saturday morning.
Lunch for Saturday afternoon.
Dinner for Saturday evening.
Breakfast for Sunday morning.
Lunch for Sunday afternoon.
Dinner for Sunday evening.
Some snacks and hot beverages during breaks in between sessions.

Optional items you might bring (you are not required to bring these):

Snacks for personal consumption or for share.
Bible or any devotional items for personal use.

Please DO NOT bring:

Pets.
Weapons or firearms.
Explosives or hazardous material.
Illegal narcotics or substances.
Alcoholic food or beverages.
Party equipment.
Sporting equipment.
Any other non relevant items.

Please NOTE that:

All communication devices must be switch off during sessions.
No photo taking, audio, or video recording in during sessions.
Smoking only allowed during breaks at appropriate places.
You are obligated to attend every sessions during the Weekend.
Late arrival or early departure will not be tolerated.
You are not allowed to leave the Venue during the Weekend.
You will be transported back by coach, leaving the Venue by 19:00 on Sunday and expected to arrive at the Meeting point by 21:00. Actual arrival time may vary depends on traffic.
If you have any more question, please contact us personally.

Have a soulful weekend!

God bless!

I have never been married, I have never participated in Weekend CHOICE before, I have filled above form honestly, and I have read and understand all information above.