Grey Nomads Camp Adventist Alpine Village 2 nd - 7 th October 2017 Application Form

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Grey Nomads Camp Adventist Alpine Village 2 nd - 7 th October 2017 Application Form Please read the camping regulations before you complete this application. Please print do not use abbreviations. Return with payment to: Robyn Howie, C/- Seventh-day Adventist Church (SNSWC) Ltd, PO Box 800, Canberra ACT 2601. Fax No: (02 6247 5059) (Please do not post originals if you fax your application form) or email to: robynhowie@adventist.org.au Telephone applications cannot be accepted. If you wish to fill an application form online follow this link: www.snsw.adventist.org.au/events/#grey-nomads Applications close 15 th September 2017. Want to know more about the venue? Log on to www.alpinevillage.com.au or view our pictorial http://www.youtube.com/watch?v24lq0vkih0w 1. Applicant Information (Please Print) Name of applicant: Surname Given Name Current postal address (include postcode) Contact phone number(s) (include area code) Postcode Home ( ) Mobile Email 2. Campers For safety and security reasons we require details of ALL those in addition to the applicant who will be staying on site overnight. Please complete all columns. Any additional campers MUST register at the camp office. The camp administration reserves the right to remove anyone from the grounds who is not registered. Surname Given Name Mobile Car Registration Special requests/considerations:... Please Note: All requests will be considered, however, we cannot guarantee they will be met. Should you request a site, please have your applications to us early, however once again, we cannot make guarantees. 1 P age

3. Accommodation/Site Options Cost Sub Total a. Powered Site (BYO) tent or caravan to fit on allocated site) Annex Size I have a: X 205 Tent Caravan My caravan has an ensuite: Motor Home No. of Sites 6 nights accommodation Yes No Powered sights must be paid in full not a per night basis b. Unpowered Site (BYO) tent or caravan to fit on allocated site) Annex Size I have a: My caravan has an ensuite: Yes Tent No Caravan c. Chalet* (Fully self contained) Exclusive Use: Exclusive use allows for 1-2 people to have exclusive use of the chalet Shared Use: Shared use allows for up to 5 individuals to share a chalet Motor Home There are 12 Chalets that can accommodate up to 5 people in total. d. Bunk Room* (Ensuite, bar fridge, table & chairs) Cooking Facilities available in Communal Kitchen Exclusive Use: Exclusive use allows for 1-2 people to have exclusive use of the room, No. of Sites X 150 630 X 225 Per person rate shared use 6 nights accommodation Unpowered sights must be paid in full not a per night basis 380 Shared Use: Shared use allows for up to 3 5 individuals to share a Bunk Room X 175 There are 6 rooms that can accommodate up to a maximum of 5 people, and 12 rooms that can accommodate up to a maximum of 3 people. e. I am planning on staying off site (Contribution to support Camp Expense) Per person rate shared use X 75 Cost A (Accommodation) Applications Close for these facilities 15th September 2017 *Please note: While every effort will be made to offer you your preferred option of accommodation we cannot guarantee your preference due to limited accommodation on those items marked with an asterisk (chalet s and bunk rooms). Thank you for your understanding in this regard. 2 P age

4. Meals To get accurate catering numbers confirm the number of meals you will be having in the dining room Date Hot Breakfast Lunch Dinner Mon 2 rd Oct Tues 3 th Oct 14 each 16 each 14 each 14 each Total Cost Wed 4 th Oct 14 each 16 each 14 each Thu 5 th Oct 14 each No Lunch Provided 14 each Fri 6 th Oct 14 each 16 each No Charge Sat 7 th Oct 14 each 16 each 14 each Sun 8 th Oct LUNCH will be the main meal of the day! 14 each Total Cost B (Meals) Special Dietary Requirements: Musical Instrument: I plan to bring the following musical instrument: 5. Payment Total Amount Payable Cost A as + Cost B sd + Cost C Total Cost asdf (enclosed with application and Method of Payment Cash Cheque Made payable to SDA Church (SNSW) Ltd) Credit Card Details Visa Mastercard Credit Card Card holder s name (as it appears on card) Card Number Authorised Signature Card Expiry Date / Agreement I will be responsible for ensuring that all occupants of my site have read and agree to abide by the camping regulations (on the last page of this application). I further agree to follow all reasonable directives of the Camp Administration. My signature below is authorization for my name and site number to be displayed on the notice board. Signature of applicant Date Day Month Year Return with Payment to: Robyn Howie C/- Seventh-day Adventist Church (SNSWC) Ltd PO Box 800 Canberra ACT 2601 by the 15 th September, 2017 3 P age

GUEST PROFILES Pr Brett Towned Married to Rae with three adult kids; two girls and a boy, and one delightful granddaughter. Pursued his passion for horses professionally breaking-in and training horses of all types for Olympic representatives, campdrafters, dressage horses, and then trained polo horses for Australian representatives and international riders, including some of the wealthiest Australians. After a call to ministry continued to train horses as a hobby and loves to share how the gospel can be communicated through these magnificent animals. Pr Steve Piez is a musician, teacher, administrator and pastor. He was born in Rabaul, on the Island of New Britain and spent all of his childhood living in Papua New Guinea. Steve is a licensed plumber and spent 12 years in the building trade. During this time he developed a lasting interest in vegetable gardening, stone masonry and renovating 19th century cottages. Steve responded to the call to ministry and attended Avondale College as a mature age student. He subsequently completed postgraduate qualifications in education followed by a Master s degree with Honours specialising in Australian Indigenous history and the impact of Adventist missions in WA. After working a number of years as administrator of Karalundi Aboriginal Education Centre, Steve returned to his childhood home of Lae, Papua New Guinea, where he was employed as the national director of Seventh-day Adventist Schools. Since 2007 he has worked as the national director of Aboriginal and Torres Strait Islander Ministries. Steve enjoys teaching from the Bible. He is also an accomplished guitarist who has travelled extensively and has supported local and international artists such as Don Burrows, Reg Lindsay, Silverchair and Status Quo. Steve currently lives in Melbourne with his wife Kym, and has two daughters and two sons. Jeremy Taituave Jeremy lives in Wagga Wagga where he works as a ministerial intern, assisting the senior pastor in overseeing three churches and two groups. He married Sarina Williams in 2012 (not to be confused with the tennis player). They welcomed their baby girl Eva-May to this world last December. Jeremy has also been involved in the fitness industry as a personal trainer for 6 years, and is passionate about bringing both faith and fitness together. The devotions will be on the application of the 8 health laws in our lives. Friday Night Banquet On Friday night, we will have a special Sabbath banquet. There will be no additional cost to attendees to attend this however we do require you to place the numbers attending in the meal section above for catering purposes. The banquet will consist of a three-course meal, light music, and keynote speaker for the week Pr Brett Townend. Saturday Night Concert This year we want you to be involved as well as our guest musicians. If you would be willing to participate in some form please note below what area your talents lie. Eg Singing, poetry, story telling.. Each performance is limited to 5 minutes. Yes! I would be willing to share my talents in! 4 P a g e

6. Camp Information and Regulations In the interest of the safety, comfort and welfare of all campers, the following information and regulations will apply. Please read carefully and seek clarification (if required) before signing your application form, which represents your agreement to abide by all these regulations. A. ACCOMMODATION H. COMMUNAL KITCHEN Chalets and Bunkrooms. There is limited availability for this accommodation. Please note that there are no cooking facilities in the bunkrooms. B. ARRIVAL The Adventist Alpine Village is located at the end of Tinworth Drive (off Barry Way) Jindabyne NSW 2627, and is open for registration on the 2nd of October 2017. Everyone arriving must report to Registration. If you are arriving prior to the 2nd of October or departing after the 7 th of October, please make these arrangements with Stan Carter (Manager) or Russell Alsop (Assistant Manager) by phoning 02 6456 2738. C. FEES Camp attendance fees must be paid in full prior to arrival. A 75 attendance fee must be paid by each person attending but living off site. D. APPLICATIONS The Camp Administration reserves the right to accept or reject any application. No application will be accepted unless accompanied by full payment. E. FACILITIES The camping area facilities consist of 1 block of Female showers, 1 block of Female toilets, 1 block of Male showers, 1 block of Male toilets, 2 Unisex Disabled showers/toilets. Two coin operated washing machines (3 per load) 2 clothes lines. F. TELEPHONE There are no public phones on the site. The nearest public phones are in Jindabyne Village, 3 kilometers from Adventist Alpine Village. G. DINING ROOM To assist in the catering please complete meal order form. Any extra meal tickets can be purchased from registration office. A communal kitchen is located at the western end of the dormitories. This facility is available to all campers and includes 3 x prep area, wash up area, full size stove and oven, refrigerator, microwave, toaster, indoor and outdoor dining areas. If you choose to use this area please be sure to clean after each and every use. I. BBQ Area A BBQ Area is located in adjacent to the camping area. All guests are welcome to use the area free of charge. If you choose to use this area please be sure to clean after each and every use. J. RUBBISH DISPOSAL It is every camper s responsibility to keep his or her campsite clean and tidy. Bins are located at central points around the campground. K. PETS If you require accommodation for your pets please contact Stan Carter (Manager) or Russell Alsop (Assistant Manager) prior to your arrival by phoning 02 6456 2738 L. MEDICAL FACILITIES Medical Facilities are located at 5 Thredbo Terrace, Jindabyne (opposite Mitre 10) (phone: 02 6457 1221) or for more severe emergencies call 000 or go directly to Cooma Hospital, Bent Street Cooma (phone: 02 6455 3222) M. WEATHER CONDITIONS Weather conditions in the Alps can change quickly. If you plan to bring a Caravan, Motor Home or Tent, please ensure that you also carry tie downs and anchor points. N. CANCELLATIONS Cancellations can be made by: Email: robynhowie@adventist.org.au Or Phone: 02 6249 6822 All cancellations will incur a 50 cancellation fee. 5 P age