Retreatant Registration Form

Retreatant Registration Form

NATURE OF COMPASSION Day Retreats at Brinscall Hall, Chorley, Lancashire.
Which retreat are you interested in attending?
Full Name

First NameLast Name
E-mail
example@example.com
Mobile Phone Number
Please enter a valid phone number.Format: 00000000000.
How did you hear about the retreat?
Please Specify
Please share any experience you have of mindfulness or being on retreat:
Please share any dietary requirements you have:
Is there anything you feel is important for us to know, to ensure you can engage and enjoy the retreat as much as possible.
If yes, please share some details:
Wild Awake Mindfulness emails out a newsletter approx. 6-8 times a year with a blog post, meditation, mindfulness and nature connection resources and news of new events and retreats. Would you like to sign up?
Wild Awake Mindfulness also has a FREE community WhatsApp where you will receive weekly mindfulness, meditation and nature connection resources, tips and tricks. It is one way, us-to-you, so there isn't a load of unwanted messages to navigate. Would you like to sign up?
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