Father Heart Family Easter Retreat

Cloverley Hall, Shropshire, UK

Please complete a separate form for each person
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Phone Number*

Area CodePhone Number
Please provide emergency contact details (name, address and phone number together with their relationship to you).*
If you have any dietary requirements (or food intolerances) that are for medical reasons only, or other health issues we should be aware of please enter full details here:

VegetarianGluten FreeLactose/dairy freeNutsFishOther
We will allocate single rooms on a first come, first served basis. If you need a room with disabled access or would like to share with a specific person let us know.

Payment (please select)*

Full Amount

£225.00

Day Rate

£79.00 Number of Days (Sat and/or Sun)

Total

£0.00

Cloverley Hall, Shropshire, UK