Pre-Booking Enquiry Form

Thank you for your interest in the Goorambat Veterans' Retreat!

This pre-booking enquiry form is designed to help us determine your eligibility for our services, which support veterans, serving members and their families.

By completing this form, you assist us in ensuring that we can tailor our services, and create a meaningful experience for you.

We appreciate your time and look forward to welcoming you to our Retreat!

Your Connection to the Australian Defence Force (ADF)

Goorambat Veterans' Retreat welcomes current and former ADF members, as well as their partners, family and support personnel.

Providing this information is the first step in requesting accommodation with us.

First name

Last name

Mobile Phone

Home Phone

Birthday

Day

Month

Year

Email

Please indicate who are you completing this form on behalf of?

Myself

On behalf of someone else

What is your connection to the Australian Defence Force (ADF)?

Please select the most appropriate response

I am a current serving ADF member

I am a Veteran (former ADF member or veteran)

I am a partner / spouse of an ADF member or veteran

I am a child or family member of an ADF member or veteran

I have no ADF connection

I am a Support Worker (enquiring on behalf of)

What is the purpose of your enquiry today?

Recreational / Holiday stay

Short-term / Respite accommodation

Emergency / Crisis accommodation

Advocacy or referral to support services

Have you previously stayed at the Retreat?

Yes

No

Pre-Booking Enquiry Form

Your Connection to the Australian Defence Force (ADF)

Join our support team