Fairfield House Retreat Booking Form
We are so excited to invite you to our Fairfield House retreat. So we can make sure everything runs smoothly, please kindly complete our booking form to secure your space.
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Name *
Email *
Telephone number *
Emergency Contact Details (please include name, number and relation) *
Medical History
Dietary restrictions *
Dates *
Required
Accommodation Preferences *
To help us help you get the most out of your experience, please tell us a few reasons why you would like to join us on retreat/at a wellness day.
Optional Extras (these must be booked and paid for in advance)
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Signed By (please type your name as a digital signature) *
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