Winter Recharge – VIC Simple Events

Winter Recharge 2026

Personal Information

First Name

Last Name

Preferred Name (Optional)

Phone/Mobile

Address

Suburb

Postcode

Age

Date of Birth

Gender

What Church do you usually attend? (if applicable)

Registration

Full Weekend Ticket (Includes Friday and Saturday night accommodation, and meals from Saturday breakfast to Sunday lunch.)

Winter Recharge – Adult Ticket (18-35 years old) – $160

Winter Recharge – Student or non working adult – $105

Winter Recharge – Regional (I live more than 200km from the Melbourne CBD) – $105

Day Pass

Saturday Day Pass (Includes lunch and dinner)

Extras

Friday-night dinner

Emergency Contact information

Emergency Contact

Relationship to you

Mobile of Emergency Contact

Do you have any health concerns, such as the following? If yes, please list and provide details. ADD/ADHD, Blackouts, Travel Sickness, Diabetes, Diability, Asthma, Migraines, Epilepsy, Fits, Phobia, Heart Problems, Respiratory Problems, Restrictions on Activities, Sleepwalking, Drug Reactions (e.g. Penicillin etc.), Allergies (e.g. Bee Stings etc.), Food Allergies

Any Dietary Requirements?

Please advise of any other dietary requirements

Cabin Preferences

Dorm-style accommodation is included in your ticket. You will be placed in a cabin with others of the same gender. Select “Wild Card” for a more random placement, or indicate up to three preferred cabin mates.

Wild Card- I’ll be happy anywhere!

Sabbath Afternoon

Let us know if you’re interested in any of these activities for Saturday afternoon.

Please choose one:

I’d like to go 4WD-ing if it runs. I don’t have a 4WD.

I’d like to go 4WD-ing. I have a 4WD and can take anyone.

I’d like to go 4WD-ing but would prefer to only take people I know.

I’d like to lounge by the fire with friends.

I’d like to attend a workshop, if it’s on offer.

I’d like to go on a walk by the river.

Any other comments?

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