Retreat Application

Creative Writing Retreats in UK, Mexico and Costa Rica
On this form, you can secure your spot with a deposit, on the retreat(s) of your choice. Your deposit covers the ‘writing retreat’ activities and is the only fee paid directly to us. Accommodation fees are payable directly to the lodge or hotel.
York Writing Retreat, UK. Sunday 13 September - Saturday 19 September 2026Mexico Writing Retreat, Saturday 28 November – Saturday 5th December 2026Costa Rica Retreat, Sunday 24th January-Sunday 31st January 2027Costa Rica Retreat, Sunday 31st January-Sunday 7th February 2027
Both our Mexico retreat and our second week in Costa Rica require the selection of a specific room type. Please check the information flyer for options and e-mail your room preference to julie@centauriarts.com. If your attendance on the retreat relies upon the availability of a specific accommodation type, please check your preference is available before completing this form.
Primary Traveler/Room Occupant:
Name*

First NameLast Name
Date of birth*

MonthDayYear
MALEFEMALE
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone*

Area CodePhone Number
Home Phone

Area CodePhone Number
E-mail*
YESNO, I AM ATTENDING WITH OTHER PEOPLE
Where Did you hear about Centauri Arts Retreat?
Accessibility Needs/ Special Requests
Medical Conditions of which we should be aware
Please list any life threatening allergies
Emergency Contact*

First NameLast Name
In the unlikely event that you should become ill during the retreat, this is the person we will contact on your behalf.
Phone Number of Emergency Contact*

Area CodePhone Number
Relationship to you*
WRITING WORKSHOPS
Please tell us a little about your writing interests and experience
- Name
  
  First NameLast Name
- Relationship to primary traveller
- Date of birth
  
  MonthDayYear
- Gender
- Accessibility Needs/ Special Requests
- Medical conditions & mental health needs of which we should be aware
- Please list any life threatening allergies
- YESNO
- Please tell us a little about your their writing interests and experience
- Name
  
  First NameLast Name
- Relationship to primary traveller
- Date of birth
  
  MonthDayYear
- Gender
- Accessibility Needs/ Special Requests
- Medical conditions & mental health needs of which we should be aware
- Please list any life threatening allergies
- YESNO
- Please tell us a little about your their writing interests and experience
- A deposit is required per room to secure space. This deposit is payable in Canadian dollars and covers the portion of the retreat supplied by Centauri Arts: Creative Writing Workshops and related activities/materials, plus retreat group leader services. It does not include accomodation, food, flights and sightseeing.
  The deposit fees due are as follows:
  
  Mexico Retreat 2026:          $799 CDN per writer, per retreat week.
                                         $150 CDN for accompanying family/friends sharing a room
  
  Costa Rica Retreat 2027 $799 CDN per writer, per retreat week.
                                           $150 CDN for accompanying family/friend sharing a room
  
  UK Retreat 2026                 $750 CDN per writer, per retreat week.
                                           $150 CDN for accompanying family/friend sharing a room
  
  Please specify below how you would like to pay. Once we have confirmed availability of your room, we will call or email you to finalise payment.
- Interac (Canadian Customers only)Credit card
- YES
- If you have not done so, you can read the information packs and booking conditions at
  https://www.centauriarts.com/centauri-arts-costa-rica-2027/
  
  https://www.centauriarts.com/2026-mexico-pack/
  
  https://www.centauriarts.com/centauri-arts-york-2026/
- ELECTRONIC SIGNATURE: By entering my name in the space below, I certify the information provided is true and correct, and legally obligate myself to the same extent as I would by signing my name on a printed version of this form
- Full Name of Person completing this form.
  
  First NameLast Name
- Date
  
  MonthDayYear
- Should be Empty:

Creative Writing Retreats in UK, Mexico and Costa Rica