Retreatant Registration Form
NATURE OF COMPASSION Weekend Retreat 20th-22nd June 2025, Brinscall Hall, Chorley, Lancashire
Full Name
*
First Name
Last Name
Phone Number
*
-
Phone Number
E-mail
example@example.com
How did you hear about us?
*
Please Select
Word of Mouth
Friend/ colleague
Social Media
Wild Awake newsletter/ website
Been before
Internet Search
Poster
Other
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.
*
Yes
No
If yes, please share some details:
Back
Next
Do you require an accessible bedroom/ bathroom? Please note there is only one downstairs bedroom and adjoining bathroom. We will try and accommodate your needs as much as possible.
*
Yes
No
Do you require space for a campervan?
*
Yes
No
Please specify whether you are paying the full rate, and if you are interested in paying in instalments. We have a few concession rates available, we cannot guarantee we can accommodate your request. Any questions please contact the retreat leaders. Once your place has been agreed we will ask you to pay a £65 deposit to secure your place
*
£265
Paying 2 x £100 instalments?
Concession
Submit
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