Registration Form

To register for a retreat please fill out the form below:

Name of Retreat :

Start Date :

Full Name :

Address :

Phone No :

Your Email Address:

Estimated Time of Arrival:

Estimated Time of Departure:

I have the following special dietary needs:

I have difficulty climbing stairs:

We provide single room accommodation with shared bathroom facilities.

Located at:
27 Penguin Road, Safety Bay,
Western Australia 6169

Phone: (08) 9527 2517
Email: PBTS@perthcatholic.org.au