Tranquil Hearts Retreat 2026 Registration Form

Tranquil Hearts Retreat 2026 Registration Form

Sacred retreat with Shaykh Ismail al-Kurdi & guests in Wales (all international guests, excluding Shaykh Ismail, are currently awaiting visa approvals). There is limited capacity on the retreat and we will get in touch about next steps once we receive your form.
Full Name

First NameLast Name
Email Address
example@example.com
Mobile Number

Area CodePhone Number
Gender
Date of Birth

DayMonthYear
Date
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Are you a regular attendee of the weekly majlis facilitated by the institute?
Are you a regular attendee of the lectures and courses facilitated by the institute?
Do you have any allergies or dietary requirements? Please provide details and we will get in touch regarding how we may or may not be able to accommodate. Please include details of allergies for any children or family members included below too.
Do you wish to bring family?
Family details
Spouse full name

First NameLast Name
Spouse email address
example@example.com
Spouse phone number

Area CodePhone Number
Spouse gender
How many children do you wish to bring?
Child 1 name

First NameLast Name
Child 1 age
Child 1 DOB

DayMonthYear
Date
Child 1 gender
Child 2 name

First NameLast Name
Child 2 age
Child 2 DOB

DayMonthYear
Date
Child 2 gender
Child 3 name

First NameLast Name
Child 3 age
Child 3 DOB

DayMonthYear
Date
Child 3 gender
Child 4 name

First NameLast Name
Child 4 age
Child 4 DOB

DayMonthYear
Date
Child 4 gender
Child 5 name

First NameLast Name
Child 5 age
Child 5 DOB

DayMonthYear
Date
Child 5 gender
Should be Empty:

Tranquil Hearts Retreat 2026 Registration Form

Family details