Phillip Island New Church Retreat 2021 – Day Visitor Booking Form

This form is for day visitors only, if you wish to book for the retreat including accommodation please use the form here instead.

Please note this is a new style of form and one form needs to be completed for each person in your family/group. On completion of this form you should receive a confirmation that it has been sent and the information will stay completed on the form so that for any second or subsequent members of your group you simply need to change the relevant fields and submit again.

If you do not receive a confirmation for each completed form, please contact Todd Beiswenger at

If any members of your family/group have a strict dietary requirement that is essential to their health and well being, (e.g. food allergy), we need to know so we can inform the Phillip Island Adventure Resort. The venue will cater for some special dietary requirements, these should be noted on the booking form (there is no longer a separate dietary requirement form).

If any of the people on your booking suffer from anaphylaxis you need to email through their action plan to Todd Beiswenger at in addition to completing the dietary requirements on this form.

Welcoming all people to be part of a living community serving the Lord and encouraging personal development