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2024 Thriving Through Crisis Course Registration Form
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Email
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Your email
What is your name?
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Your answer
What is your mobile cellular telephone number?
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Your answer
Who can we contact in case of emergency? Please provide name, phone number and their relationship to you.
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Your answer
What is your connection with Quakers (if any)? Which RM are you connected to?
Your answer
What are your dietary requirements? (e.g. wheat free, no dairy, peanut allergy, etc.)
Please be as specific as you can - this helps us in planning how to best feed you.
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Your answer
What kind of milk/s do you prefer for cereal, tea/coffee?
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Your answer
Do you have any accessibility requirements or things we should know about to help make your stay here comfortable?
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Your answer
Arrival - what day and approximate time will you arrive? How will you be traveling here?
(If you're catching a train, the mid-afternoon arrival at Bungendore would be our preference)
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Your answer
Departure - What day will you be leaving, and how?
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Your answer
This is a 7-day course. Do you want a single or shared room?
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$720 for single room, all meals included
$550 for twin share, all meals included
Other:
Payment of fees can be made by direct deposit to:
Silver Wattle Quaker Centre
BSB 633 000
A/C 141 426 890
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