Online Booking System
Single/Married Couple
Family
* indicates compulsory field.
Family name
*
Address
*
Suburb
*
State
ACT
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Outside Australia
Postcode
*
Country
Australia
New Zealand
Other
Home Phone No.
*
Emergency Contact Name
*
Emergency Contact Number
*
Church Name
Adelaide
Auckland
Brisbane
Busselton
Canberra
Hobart
Melbourne City Centre
Melbourne Waverley Centre
Newcastle
Perth
Sydney
Other
Additional comments
If you have any specfic booking requests, for example, you would prefer to be put in a room with a specific other person, please let us know here.
Number of parents
1
2
Number of children
1
2
3
4
5
6
7
8
9
Parent 1
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Parent 2
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 1
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 2
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 3
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 4
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 5
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 6
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 7
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 8
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Child 9
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Age (Years old)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
(Years old at 6th April, 2007)
*
Gender
Male
Female
Mobile No.
Email
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Single/Married Couple (no kids) Booking
Title
Mr.
Mrs.
Ms.
Master
Miss
First Name
*
Surname
*
Address
*
Suburb
*
State
ACT
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Outside Australia
Country
Australia
New Zealand
Other
Postcode
*
Age
0 - 2
3 - 8
9 - 12
14 - 17
18 +
(Years old at 6th April, 2007)
*
Gender
Male
Female
Email
*
Home Phone
*
Mobile
Emergency Contact Name
*
Emergency Contact Number
*
Church
Adelaide
Auckland
Brisbane
Busselton
Canberra
Hobart
Melbourne City Centre
Melbourne Waverley Centre
Newcastle
Perth
Sydney
Other
Care Group Name
*
Transportation needed
To PIAR:
Yes
No
From PIAR:
Yes
No
Please note that transportation will cost $20.00 per person each way.
Special Requests
In the above Special Request textbox, please indicate...
1. The name of your spouse (if applicable) and his/her registration ID no.
2. If you have any special dietry requirment
