About Yourself:

Title:

Your name*:

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/course/quiet time you wish to attend:

Estimated time of arrival*:

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 are catered):

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*:

Arrival and departure:

You are welcome to arrive any time between 2 pm and 6 pm. Arrival times after 6 pm can be made by prior arrangement only. If you are delayed en-route to the Centre, please let us know as soon as possible by calling 01492 878031. There is a large car park available for you.

To secure your stay, we ask for a deposit of £50 if you are staying up to 3 nights, or £100 if you are staying 4 nights or more. This is to be paid within 10 working days of your booking. If we do not receive a deposit within this time, your provisional booking will be cancelled. If this is a problem, please let us know. Your remaining offering can be paid upon arrival.

Make sure you click the box below before you click the submit button to send the form.

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