London Centre Retreat Registration Form

    Which retreat will you be attending? *

    Charney Manor Retreat Centre, November 25th – 27nd

    Title *

    MrMrsMs

    First Name: *

    Last name: *

    Town: *

    Email: *

    County: *

    Phone Number: *

    Friday evening meal: *

    YesNo

    If ‘no’ please indicate probable arrival time:

    Have you been on an SRF retreat before? *

    YesNo

    Can you give a lift to the retreat: *

    YesNo

    Can you share a twin room (if necessary): *

    YesNo

    Are you an SRF Lessons Student? *

    YesNo

    How did you hear about the retreat?

    Special diet:

    Comments/Special Needs:

    Please let us know if you would like to help us during the retreat by setting up/down the retreat, taking one of the mediation/reading services, leading the Energisation Exercises, etc.

    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.