Homegrown Family Registration 2023
Please complete by Friday 23rd December 2022.In line with our commitment to safe ministry practices, the information collected in this form will be used by appointed program leaders and stored securely by Southern Cross Presbyterian Church.
Family/Individual Registration
Family Name:
*
e.g. Smith family, John Smith, John & Jane Smith
E-mail
*
Number of adults being registered:
*
Number of children being registered:
*
If none, write '0'.
Adults attending (scroll across for all fields)
*
Children (Birth - Year 14) attending (scroll across for all fields)
*
Payment
PAYMENT & ACCOMMODATION
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Panorama Homestead
$
62.00
AUD
Only 1 remaining room with 5 beds suitable for young adult women. Please consider camping or attending as a day visitor.
Registration
Quantity
Price
Adult (15 years+)
$
62.00
AUD
Child (5-14 years)
$
44.00
AUD
Child (Under 5)
$
0.00
AUD
Powered Camping
$
48.00
AUD
Registration
Quantity
Price
Adult (15 years+)
$
48.00
AUD
Child (5-14 years)
$
22.00
AUD
Child (Under 5)
$
0.00
AUD
Item subtotal:
$
0.00
AUD
Unpowered Camping
$
44.00
AUD
Registration
Quantity
Price
Adult (15 years+)
$
44.00
AUD
Child (5-14 years)
$
20.00
AUD
Child (Under 5)
$
0.00
AUD
Item subtotal:
$
0.00
AUD
Day Visitor
$
10.00
AUD
The cost for day visitors is $10 per day regardless of age. Children under 5 years are free.
Quantity
Price
Thursday 19th January
$
10.00
AUD
Friday 20th January
$
10.00
AUD
Saturday 21st January
$
10.00
AUD
Item subtotal:
$
0.00
AUD
Enter coupon
Apply
Total
$
0.00
AUD
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Register
Should be Empty: