Lakeview Retreat Registration

If you have an email address, fill out the Application Form below and click the Send Application Form button at the end of the page. If items are not relevant, just leave them blank.

If you don’t have an email address, please ask someone who uses the internet to fill it in for you. The form provides for this option.

Otherwise print out this Application Form (click the printer icon below), fill in relevant details and post to R S Clist, 12 Murray Becroft Avenue, Henderson Valley, Auckland 0612, Ph. (09) 817 6208, Mob. 022 060 9226. Or ask a friend with email to do an online application for you. Use whatever method suits you best!

    Application Form
    For the person submitting this application:
    Your first or preferred name:

    Your email address:


    Camper(s) names:


    Camper's home city, town, or area:

    Camper's preferred contact phone number:

    Registration type:
    Full-timePart-timeDay visitor
    Registration fees:

    If you are registering for part-time or as a day visitor, please advise arrival and departure times:

    If you will require transport, please advise date, time and pick-up rendezvous:

    Are you staying in private accommodation?
    Yes
    Or are you bringing a caravan or campervan?
    Yes
    For North Island residents coming by car, we expect you to supply your own bedding.
    Do you require camp-supplied bedding?
    Yes
    Do you have any special dietary needs or other requirements?

    If you have any other comments or questions, please enter them below.

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    That's all the questions! Now please click the button below, and you should see a "Thank you" message pop up below the button. Please check for this! You can expect an acknowledgement from Roger C. within 48 hrs. Thank you.