IGR Form

Thank you for your application for an Individually Guided Retreat
For our records, please complete the form below. Your answers will also help us to allocate a suitable guide for your retreat.

About Yourself:

Title*:

First name*:

Surname*:

Age Bracket:
18-2425-3940-5960-7980+

Contact details:

Postal address:

Your email*:

Home phone:

Mobile phone:

Preferred Contact:
Home phoneMobile phoneE-mail

Dates of the retreat you wish to attend:

Previous experience of retreats:

Have you made a silent, individually guided retreat before?
yesno

Have you been to the Loreto Centre before? If so, please briefly state your reason:

If this is your first visit, please let us know how you heard about the Loreto Centre:

It would help us if you could say very briefly what you are hoping for from the retreat and if there is anything else we need to keep in mind when allocating you a guide. (This will be shared with your guide, but otherwise treated in confidence.)

Your needs:

Our rooms are all en-suite. Towels and bedding are provided. There is a lift to all floors. Tea and coffee facilities are available on all floors.

Dietary Requirements:

If you have any medically diagnosed allergies or specific dietary requirements please let us know about these when booking by completing the information table below.
We can accommodate medically diagnosed allergies and specific requirements such as vegetarian/vegan diets, but find it far easier to do this if we can plan the menu in advance.
We also recognise that there may be some meals which are not to everyone’s taste. Where possible we will offer an alternative choice to the main meals offered. Unfortunately, we can’t cater for all dislikes or preferences but try to make sure that there are other options/alternatives available.

Please check the boxes that correspond to your needs:
Gluten & wheat freeVegetarian (eats fish)Vegetarian (no fish)VeganDiabeticNut allergyShellfish allergyDairy-freeOther (specify below)
Please note that if you are gluten-free we ask that you bring your own gluten-free hosts for Holy Communion.

Other Requirements

Please let us know of any other specific requirements or health issues that could affect your stay:

Please note that we are not able to provide personal care. If your needs require personal assistance, please come accompanied by someone who is able to provide this for you.

Please provide the contact information of a trusted person in case of emergency:

Name*:

Phone Number*:

Arrival and departure:

The retreat begins with supper at 6 pm on the day of your arrival. You are welcome to arrive any time after 3 pm so that you can settle into your room before the retreat begins. If you are not able to arrive during that time, please let us know beforehand if at all possible.
The retreat ends with breakfast on the last day.
There is a large car park available for you.

* This is a required field

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