Registration Form

Contact Information

Name

First Name

Last Name

Email Address

Phone Number

Emergency Contact Information

Name of Contact

First Name

Last Name

Phone Number

Medical Information

Medical Condition and Medication/Allergies/Dietary Requirements

Continental Breakfast all mornings

$18 per person for additional days not included

Yes

No

Optional golf St Andrews Beach

Bookings can be arranged. Cost $76 pp Carts $44.

Yes

No

Optional Mornington Peninsula Hot Springs

Bookings recommended. $55 maximum.

Yes

No

Travel Insurance

Cost and Payments

Payments can be made to: -