Registration Form • Sacred Rascals Retreat, November 2017, Cotswolds England

You’re coming to Sacred Rascals!

Please fill out this registration form where you can choose your room preference, payment instalments and let us know of any dietary needs.

First + Last Name*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact - Name*
Emergency Contact - Phone Number*
I'd like to pay the remainder of my balance in...*
- One payment
Room preference:*
- Twin room: £1500 (two single beds)
Dietary needs & preferences
Please indicate any allergies or other food needs you might have - and please don't be shy! This includes the spectrum from extreme dislikes to intolerances - it would be helpful if you could explain details too (as in, do you avoid bread but sometimes eat cakes containing flour because they are so delicious, or do you need to completely avoid gluten because you will become ill).
Additional information
Please let us know if there is anything else you would like to share, about how we can best take care of you.

We’ve also sent an official welcome email with everything you need for how to get from wherever you are in the world, to the retreat. If you have any questions at all just get in touch with Shauna in the first instance: hello@shaunareid.com

We can’t wait to meet you!