Request edit access
Aratika Cancer Wellbeing Retreat Mar 2020 - Lake Taupo
Welcome please register here to place a booking for our Aratika Cancer Wellbeing Retreat Fri 27th Mar - Tues 31st Mar 2020. We will contact you by email to confirm your booking once we have received your registration.
Contact Phone Number
Date of Birth
Ethnicity (used for funding purposes)
Share a bunk room with another attendee I don't know/ or my support person $695pp
A bunk room on my own $795pp
Share a SC cottage on site with my support person $795pp
Share a premium room with my support person - off site private 'B&B' Accommodation $850pp (or as a single $1,130pp)
What type of cancer do you have? Can you manage your own health needs day to day?
Name and mobile number of support person if bringing one.
Thank you for registering with Aratika Cancer Trust. We look forward to being in touch with you soon. Warm Regards
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Aratika Trust.