ENGLISH RETREAT REGISTRATION FORM - JULY 2017
SPIRITUAL RETREAT IN ENGLISH "Walking with Christ"
Friday July 14th to Tuesday July 18th, 2017

Venue:
Atmadarshan OCD Reteat House,
Sacred Heart Philosophical College
Monastery Lane
Aluva.
Tel. 0484 2623409

Google Maps: https://goo.gl/maps/RP8vu

Email address
GENERAL INSTRUCTIONS:
Kindly arrive at the Retreat Centre before 4 pm on Friday July 14th to complete Registration formalities and room allotment.

REGISTRATION FEE (inclusive of food and accomodation): Rs. 2000

HOW TO PAY:
To be paid at the Registration Counter on July 14th, 2017

INSTRUCTIONS FOR FILLING UP THIS FORM
Thank you for visiting this page. Here you can complete an online reservation form for booking seats for the Retreat.

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.

PERSONAL DETAILS
Title
Full Name
Your answer
Age
Choose your age range
Community
If you belong to a Religious Community, kindly enter the name of your Community here
Your answer
CONTACT DETAILS
Email
If you do not have an email address, please enter 'N.A.'
Your answer
Mobile/Land Telephone
Your answer
Address
Enter your full address
Your answer
Emergency contact
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.'
Your answer
Emergency Contact Number
Enter the telephone number of the person to be intimated in case of an emergency
Your answer
Type of booking
If you are registering for yourself only, choose 'Single'. If you wish to register for other individuals also, such as immediate family or community members, please choose 'Group'
GROUP BOOKINGS
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
Your answer
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
OTHER DETAILS
Diet
Room preference
Please note that your preferred type of room is subject to availability
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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