Retreatant Registration Form

Retreatant Registration Form

NATURE OF COMPASSION Day Retreat 14th December 10.30-4.30pm Brinscall Hall, Chorley, Lancashire.
Full Name*

First NameLast Name
Phone Number*

Phone Number
E-mail
example@example.com
How did you hear about us?*
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.

YesNo
If yes, please share some details:
Should be Empty: