In the event that your chosen retreat is full, would you like to be considered for another of our retreats later in the year? *
PERSONAL SELF-LED RETREAT
What date would you like to come on your retreat? Please give a date range if possible.
*
Your answer
Title *
Name *
Your answer
Address *
Your answer
Email *
Your answer
Telephone *
Your answer
Which church are you part of, if any? *
Your answer
Please confirm that you have read the following: *
Yes
Our Statement of Faith (attached below)
Anew Retreat Terms & Conditions
Yes
Our Statement of Faith (attached below)
Anew Retreat Terms & Conditions
Would you like to take advantage of a 30-minute session of personal prayer with us during your stay? *
Would you please tell us your reason for choosing to attend an Anew Retreat? *
Your answer
Which would be your room preference? We will do our best to accommodate your preference, but we do offer a first come first served on the room allocations. *
Willow Cottage
Great Burnet
Poppy
Cornflower
First choice
Second choice
Willow Cottage
Great Burnet
Poppy
Cornflower
First choice
Second choice
Are you intending to share a room with another retreat guest? If so, please give their name. *
Your answer
Do you have any dietary requirements or allergies that we need to be aware of for your stay?
Your answer
Anything else you would like us to know? *
Your answer
What next?
Please email to tell us you have completed this application form on info@harmonyhouseyork.com.
We will then be in touch within 48 hours. Thank you!