London Centre Retreat Registration Form

Which retreat will you be attending? *

Charney Manor, Nov 29th – Dec 1st

Title *

First Name: *

Last name: *

Town: *

Email: *

County: *

Phone Number: *

Friday evening meal: *

YesNo

If ‘no’ please indicate probable arrival time:

Have been on an SRF retreat before? *

YesNo

Can give a lift to the retreat: *

YesNo

Can share a twin room (if necessary): *

YesNo

Are you an SRF Lessons Student? *

YesNo

How did you hear about the retreat?

Special diet (Charney Manor only):

Comments/Special Needs:

Funds may be available for SRF members unable to pay the full booking fee. Please indicate if you would like an application form.

Yes

Please note, in order to register you for accommodation at the retreat we need to share the personal details you have entered above, and any access needs you may have, with the retreat centre. Please tick this box to indicate that you consent. *

Yes I do


(*) Required field.