ACOY Victoria Spiritual Weekend Retreat 2026 Registration

Attendee Details
Guardian Details
As I am between the ages of 16 and 18, I understand that an ACOY committee member will be my guardian for the weekend for child safety purposes. I accept the above statement regarding child safety
Personal Details

Please complete the following details for attendee of ACOY Retreat 2026
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 0000000000.
Address

Street Address

Street Address Line 2

SuburbState

Postal Code
Emergency Contact
Name

First NameLast Name
Relationship to attendee
Phone Number
Phone Number in case of emergencyFormat: 0000000000.
Medical & Allergy Information
Does this person have any allergies?
Is this a severe allergy (anaphylaxis)?
Please describe the allergy and any current medication (if applicable) Please note: If an Epipen is required, the student must bring their own
Does this person have any other medical conditions besides allergies (E.g Asthma, Diabetes)
Please describe the Medical condition and detail any prescribed medication for the condition (if applicable)
Does this person have any dietary requirements? (Please note: This weekend's meals will be fasting as we will be in the Nativity fast)
Please describe the dietary requirements

ACOY Retreat 2026 Purchase (VIC Youth)

Full weekend stay (3 days, 2 nights).

$170.00 AUD

Interstate ACOY Retreat 2026 Purchase

Interstate Youth Please Select this Option ONLY and that spots are limited.

$170.00 AUD

Enter coupon

Total

Attendee Details