Cotswolds Summer Sounds Retreat July 2024 Booking Form
Please let me know if you have any serious physical or mental health condition before signing up for this retreat. 
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Name *
Date of Birth *
Email *
Address *
Phone number *
Do you have any food allergies or intolerances we should know about? If yes please give details
Please give details of any physical of mental health condition that might affect your participation in this retreat *
Emergency Contact
Are you pregnant
Is there anything specific that you would like to get out of coming on this retreat?
How will you be travelling to the retreat? *
How did you hear about this retreat?
Early Bird:  4th Jan 2024 - 3rd May 2024
Late Bird: 4th May 2024 - 4th July 2024
Room
£625 Early Bird
£645 Late Bird
Bed in Triple Room En Suite
Room
£645 Early Bird
£665 Late bird
Bed in Twin Room w/ Shared Bathroom
Room
£665
Bed In Twin Room w/ensuite
Room
£725
Double Bedroom for One Person (shared bathroom)
A £200 Deposit is required to secure your space on this retreat
Please make your bank transfer to the account below

Louise Shiels
Monzo

Sort Code: 04-00-04
Account number: 41816882 OR

The full balance is due by 4th June 2024

I'm so excited to be sharing this magical weekend with you!! : ))
Your space is not confirmed until we have received your deposit.
Please read the booking conditions below carefully and fill in your name below to acknowledge your acceptance and understanding of these terms.
Terms & Conditions

Health disclaimer
This Retreat may not be suitable for anyone who has serious physical/medical conditions. If you have had any serious physical or emotional illness within the last few years, or are under any medical or psychiatric supervision please advise us at the time of booking. If you are in any doubt about your ability to participate in this retreat please contact us beforehand to discuss this. Please let us know if you are on antidepressants as cacao can react with some anti depressant medication causing headaches. You can still join but we would offer you a smaller dose of cacao.

Liability
Please understand that you are responsible for your own health and well-being during the retreat. Louise Shiels will not be held liable for any injuries or other medical or emotional problems that may occur, are sustained or aggravated during or after your time on this retreat. Louise Shiels will not accept any responsibility for cancellations. Neither can we be responsible for any loss or damage of property or disruption of program due to circumstances beyond the control of Louise Shiels.

Travel/holiday insurance recommendation
We ask that all our participants purchase travel insurance to include CANCELLATION COVER in case of any possible cancellation for personal reasons.

All travel arrangements to the retreat are your responsibility and at your own cost.

Cancellation Policy

* If we cannot move forward with the retreat and we cancel your booking, you will get a full refund or your deposit can be moved to a retreat of your choice in the future.

* If you have to cancel for any reason the deposit is non-refundable unless the space can be filled.

By entering your name below you acknowledge that you have read, accepted and understand the booking conditions of Louise Shiels
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