FOCUS Road Trip 2018 Registration
Registration for FOCUS Road Trip: 19 September 9am—21 September 6pm
Given Name *
Your answer
Family Name *
Your answer
Preferred Name
What name do you like people to use? We will put this on your name tag.
Your answer
Campus *
Male/Female *
Address *
Your street address, including the suburb and postcode
Your answer
Phone number *
Your answer
Email address *
Please give an email address that you check regularly
Your answer
How are old are you? *
Cost *
The cost of the weekend is $120 or $110 if you pay by 15 September. This includes all accommodation, meals and transport. If you are not able to afford this, see a staff worker to discuss other options.
Sleeping bag *
A sleeping bag is a warm bag you sleep inside of instead of using sheets/blankets/quilt. See http://goo.gl/xpNrZ for a picture.
I can lend sleeping bags to others
How many spare sleeping bags can you bring?
Your answer
Transport requirements *
Transport provision
If you are able to provide transport, how many people can you transport?
Your answer
Emergency contact person *
Who can we contact if an emergency happens? (A friend or family member in Australia not coming on camp)
Your answer
What is the relationship of your emergency contact person to you? *
Your answer
Phone number of emergency contact person *
Your answer
Medical issues, allergies
Do you have an medical issues or allergies that FOCUS needs to know about for the weekend?
Your answer
Food requirements
Are there any foods you can't eat? (e.g., vegetarian or foods that you are allergic to)
Your answer
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This form was created inside of FOCUS Adelaide.