Defence Wellbeing Retreat 2021
Application & Consent Form
Located at the Club Tropical Resort, Lee Point, NT.
Sessions start at 9am and run till approx 4.30pm each day, 28 Aug till Sunday 29 August.
Street Address Line 2
State / Province
Postal / Zip Code
Best Contact Number
Emergency Contact Name:
Emergency Contact Number:
1. Are you Physically & Medically well? If no, Please specify below;
2. Can you participate in high intensity activities? (I.E Zumba) If no, Please specify below;
3. Do you have any medical conditions or injuries? If yes, Please specify below;
4. Do you have any allergies, intolerances or dietary requirements? If yes, Please specify below;
If required to specify more details, please provide below;
*Answering this question will NOT exclude you from the retreat, it will be used to guide retreat activities to suit the needs of each guest, where possible.
I will be available to attend as a
Day Guest ($49)
Overnight Guest ($79)
Which wellbeing topics interest you?
Other topics of interest to you?
Do you require childcare, If yes please list the children ages with a comma between each age;
How did you hear about this event?
Do you agree to be open minded during the retreat?
Should be Empty:
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