Retreat Booking Form

(This information is confidential)

Payment options

Already paid. £0

Non-refundable deposit only via card (in next window)£200

Shared room full amount via card (in next window)£645

Request to pay via BACS (Reference 'Retreat')£0

First name

Last name

Phone

Emergency contact name and relationship to you

Emergency Contact Phone Number

Address

Do you have any medical/ mental health conditions or are you recovering from an injury or recent surgery? Please type details here.

Is there anything we need to know that would support you to access the retreat? (E.g. mobility, hearing, sight, allergies, neurodiversity, sleep issues etc.)

Do you have any dietary requirements?

If you would like to share a room with one or more people pop their name here (we cannot guarantee that you will have a room with just your group but we will try our best).

Where/how did you find out about the retreat?

Yes, subscribe me to your newsletters.

Do you agree to the retreat terms and conditions?

Retreat Booking Form

Sign up to my weekly(ish) newsletter...