Week Away 25 Registration

Week Away 26 Registration
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
PLEASE NOTE: Married couples (with no school aged children) or family couples staying for different amounts of time will need to register separately.
YesNo
Whole WeekFriday NightSaturday NightSunday NightMonday NightTuesday Night
3. When will your first meal be?
4. When will your last meal be?
ACCOMMODATION PREFERENCES
WatersleaKoloonaRiverviewI am organising my own accommodation
6. If selecting Waterslea or Riverview, what is the reason for your accommodation preference?
Guys roomGirls roomFamily roomKoloona Guys HallNil as I am staying in my own accommodationOwn Caravan - (Koloona, power available)
YesI don't mind who I share with
9. Name of person #1 you would like to share with
10. Name of person #2 you would like to share with
Registering your Family

If you are not registering a family please progress to the next section
11. What is your partners name?
YesNo
13. If Yes: Please let us know their names and ages and date of births.
If you would like a t-shirt for your child please indicate also the size required.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
If you would like a t-shirt for your child please indicate below the size required.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
If you would like a t-shirt for your child please indicate below the size required.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
If you would like a t-shirt for your child please indicate below the size required.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
If you would like a t-shirt for your child please indicate below the size required.
KIDS T-SHIRTS - Up to Year 6 only
As we want all children to have a Kids Week Away shirts they will be provided to all children without a default additional charge. As Week Away is already a significant investment, we have made the decision to not increase the registration to accommodate this. As a result, if you can pay for your childrens shirts or some of them (if you have multiple children), or even for someone else’s child/ren, that would be really appreciated. If so, please indicate below. If not, that is completely fine. This remains confidential. Please contact Tim Beilharz if you have questions in relation to kids shirts.
1234
DAY RATES (including Day Away)

If you are coming for the day or are staying off-site, please tick below.

Youthworks charges everyone who attends the site for a day or part day the rates. Soul Revival Church has no discretion with this charge. Anyone who attends the site, even if it is just to attend a talk will be charged as per Youthworks policy and practice.
Mini Day - includes Morning Tea, Lunch and Afternoon TeaMaxi Day - includes Morning Tea, Lunch, Afternoon Tea and DinnerFull Day - includes Breakfast, Morning Tea, Lunch, Afternoon Tea and DinnerFriday Meal
SaturdaySundayMondayTuesday
DIETARY REQUIREMENTS
Yes - if yes please go to Payment Details, question 20NoN/A
No dairy/lactoseNo eggNo glutenDiabeticVegetarianVeganSeafood/shellfish allergyPeanut/treenut allergyNo soyNo legumesNo beefNo garlicNo onionNo porkAnaphylaxisNo SesameCannot have food labelled 'May Contain Traces', please contact MonicaOther - see MonicaBring your own food (limited fridge space available, microwave and boiling water available)
17. If selected "other" please provide more information to support this. (Youthworks may not be able to support "other" dietary requirements but we can ask)
YesNo
19. If you are registering for your family, which family member/s has the special dietary requirements?
PAYMENT DETAILS
EFT OnlineCash
PLEASE NOTE: WE WILL CONTACT YOU BY EMAIL IN JUNE TO CONFIRM YOUR FINAL PAYABLE AMOUNT. PLEASE ONLY PAY ONCE YOU HAVE RECEIVED THIS CONFIRMATION FROM US. WE ASK FOR YOUR PATIENCE AS WE WORK THIS OUT.

YOU WILL NEED TO PAY WITHIN TWO WEEKS OF RECEIVING THE CONFIRMATION EMAIL TO ENSURE YOU SECURE YOUR ROOM/BED.
21. Can you help others?
$50$100$200$300$500Other
If Other, please indicate the amount? Thank you. :)
OTHER INFO
YesNo
23. Is there anyone else in your family who is willing to help with the morning Kids program?
Photos and videos of Week Away (including of children) will be recorded at Week Away and may be published at Soul Revival Church Gatherings, on the Soul Revival Church social media accounts, or in the Soul Revival Annual. If you have any privacy concerns, please contact Stuart Crawshaw.
24. Is there anything else you would like to let us know? Please include here any important medical information that you think we ought to know.
You have made it!!

Thank you for completing the rego form.

Love Lou and Mon.
Should be Empty:

Week Away 26 Registration

13. If Yes: Please let us know their names and ages and date of births.

If you would like a t-shirt for your child please indicate also the size required.