Freshwater Creek Retreat Booking Form

Personal details

First name

Surname

Age?

Phone number

Street address 1

Street address 2

City

State

Postcode

Country

Car Registration(s)

Please list registration numbers for all vehicles attending the retreat

Local assembly

Name of the Revival Centres Church assembly that you most frequently fellowship at.

Local pastor When will you be staying?

until

What best describes your request?

I'd like to rent a site.

You'd like to rent a vacant site or room.

I'm borrowing a van.

You've arranged with someone to borrow their van.

I'm a site owner

You own a site and pay camp fees.