Please be aware that some retreats require a deposit paying in advance.
Your Name
Your Address
Telephone Number
Your Email
Name of Minister and Church you attend
Name of the course you'd like to attend
Your Dietary Requirements
Do any of the following apply (all answers are confidential and no exclusions will be made based on the answers) DisabledNeed lift accessOn any medicationDependency on alcohol/ drugsOther (please detail below)
If you ticked one of the above options, please give us some more details
If you have any further comments or questions, please use this space
