Surname*

Forename*

Title

Address

Postcode

Telephone*

Email*

Estimated time of arrival*:

I wish to attend on the following days (please select):

Saturday 11th JulySunday 12th JulyMonday 13th JulyOr the Whole CourseI require accommodation

(No booking is needed if attending the Friday night lecture only)

I wish to book the following courses:
Please tick ONE course if coming for one day, TWO if coming for two days and THREE if coming for three days.

Course ACourse BCourse CCourse D

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.

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 if you have any mobility needs, health issues or other requirements you would like us to be aware of:

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*:

* This is a required field

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