Registration Form

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* 1. Name

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* 2. Email

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* 3. Telephone Number

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* 4. Which retreat you are registering for?

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* 5. Start date of retreat

Date / Time

Date

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* 6. Dietary requirements

Vegetarian

Vegan

Other (please tell us about any food allergies)

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* 7. Payment Options - What are you paying for today?

Non-refundable deposit

Non-refundable deposit for early bird discount

Full payment including deposit

Donation - towards providing young persons and/or female survivors of human trafficking access to retreats. We match your donation. See website for details.

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* 8. Accommodation preferences - subject to availability

Single Room

Shared room

Shared glamping

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* 9. Do you give permission for your phone number to be added to a WhatsApp group? This is so we can coordinate travel arrangments and retreat updates.

Yes