dietary form

Dietary Requirements for Retreat Attendees

Please provide your dietary requirements for your upcoming retreat.

Please note there is a charge of €12 per day for special diets (eg: vegan, gluten-free, dairy-free, fodmap etc)

Name

First NameLast Name

Email

example@example.com

Phone Number

Are you vegetarian

YesNo

If you eat meat do you avoid

Are you vegan

YesNo

Do you eat gluten

YesNoLow gluten grains such as spelt

Do you eat dairy products?

YesNo

If dairy intolerant is it

Do you have any food allergies

If yes do you carry an epi-pen?

Do you have any other dietary restrictions?

Emergency Contact Phone

Arrival Date

Departure Date

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