ENGLISH RETREAT REGISTRATION FORM - JULY 2020
SPIRITUAL RETREAT IN ENGLISH
Wednesday 29th July to Sunday August 02, 2020
Ashirbhavan Retreat Centre
Kochi, Kerala 682018
Tel. +91 484 239 0472 (Retreat Centre)
For questions regarding filling of the form:
Mrs. Bindu Roshan : 9633144777 (India) or
- Send a WhatsApp message or call :
Ms. Jeanne Dias : 00971-55-5569439 (UAE)
Directions: To locate the Retreat Centre on Google Maps, please click this link:
Tariffs: For room rates, please click this link:
Kindly arrive at the Retreat Centre before 5 pm on Wednesday July 28, to complete Registration formalities and room allotment.
REGISTRATION FEE (inclusive of food and accomodation): Please refer to tariff link above
HOW TO PAY:
To be paid at the Registration Counter on July 29 2020
INSTRUCTIONS FOR FILLING UP THIS FORM
For questions which are starred (*) and are not applicable to you, please enter N.A.
You will be contacted by email or telephone to confirm your reservation.
Choose your age range
61 and above
If you belong to a Religious Community, kindly enter the name of your Community here
If you do not have an email address, please enter 'N.A.'
Enter your full address
Enter the name and address of nearest relative or friend to contact in case of an emergency. If you wish to leave this field blank, please enter 'N.A.'
Emergency Contact Number
Enter the telephone number of the person to be intimated in case of an emergency
Type of booking
To be completed by those who have chosen 'Group' above.
Please note that every person who accompanies you (including your children, spouse, relatives or Community members) must be registered by entering their details below.
How many people are in your Group (including yourself)
Please note the maximum number possible in a Group is seven
Names of all the Group Members
How many children do you have in your Group?
Enter the age group of your children
Check all the age ranges that apply
Enter the details of the people accompanying you
Check all the categories that apply. Please note that those who do not belong to the categories below will have to register individually
Please refer to the tariff link above for room rates.
A/C 4 Bedroom
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