retreat registration

Retreat registration

Full Name:
Full Postal address including post code:*
Mobile telephone number:*
Any Physical Restrictions? Please leave blank if no or explain if yes:
Any dietary Requirements? Please add below if yes and leave blank if no:
Can you offer a lift?:
Would you like a lift if one were available? - sharing the travel cost's :
In order try to arrange a travel share do we have your permission to share your email/mobile?:
Have you taken out holiday insurance to cover if you need to cancel? We strongly advise that you do.:*
If You haven't taken out holiday insurance can you confirm that you understand that you are committed to paying the balance of the holiday. :*
Please inform the organisers confidentially of any emotional or psychological issues that might arise over the weekend or state none.:*

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