Woodland Family Retreat

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1 Welcome

2 Booking Options

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£180.00 – Adult Standard

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£240.00 – Adult with Donation

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£140.00 – Adult Supported

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£30.00 – Teen (13-17)

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£20.00 – Child (3-12)

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£10.00 – Baby (0-2)

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3 People in your group

Guest 1		First Name/ Order Name* Last Name* Email* Birth Date* Medical and physical wellbeing Please let us know about any key medical information you think we need to know, including any access needs. Leave blank if not applicable. Mental Wellbeing Please let us know anything you wish to share about your mental wellbeing here Having mental health challenges does not exclude you from being on retreat. It is very helpful for us to be aware of any mental health issues because any such issues can be heightened by being on retreat. It is up to you if you disclose information. We consider any disclosure to be the start of a conversation about how we can best support you and if the retreat you have booked is suitable for you. Leave blank if not applicable.
Guest 1		First Name/ Order Name* Last Name* Email* Birth Date* Medical and physical wellbeing Please let us know about any key medical information you think we need to know, including any access needs. Leave blank if not applicable. Mental Wellbeing Please let us know anything you wish to share about your mental wellbeing here Having mental health challenges does not exclude you from being on retreat. It is very helpful for us to be aware of any mental health issues because any such issues can be heightened by being on retreat. It is up to you if you disclose information. We consider any disclosure to be the start of a conversation about how we can best support you and if the retreat you have booked is suitable for you. Leave blank if not applicable.

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4 Other Items

5 Booking Details

Phone *
Birth Date *

6 Address Details

Address 1 *
Address 2
Town/City *
County *
Postcode *
Country *

7 Other Information

Email newsletter signup *	Yes No Hear about other Buddhafield events, community content and be notified when bookings are open for next year. We will not spam you or pass on your information and you can opt out at any time.
Dietary Needs (medical only)	All food is vegan. Please see our FAQs for further information as putting your needs here does not automatically mean that we will be able to cater for them.
Other Dietary Needs	Leave blank if not applicable. If you have selected 'Other- not listed' or 'Nut allergy' then please put additional information here.
Gender	Please see this page for more information on gender and Buddhafield retreats. You can also get in touch if you have further questions.

8 Emergency Contact Information

Name of Emergency Contact *
Number of Emergency Contact *
Relationship to you *

9 Wellness information

Medical and physical wellbeing	Please let us know about any key medical information you think we need to know, including any access needs. Leave blank if not applicable.
Mental Wellbeing	Please let us know anything you wish to share about your mental wellbeing here Having mental health challenges does not exclude you from being on retreat. It is very helpful for us to be aware of any mental health issues because any such issues can be heightened by being on retreat. It is up to you if you disclose information. We consider any disclosure to be the start of a conversation about how we can best support you and if the retreat you have booked is suitable for you. Leave blank if not applicable.

10 Lifts

Will you need a lift from the bus/train station? *	Yes No

11 Gift Aid

Are you eligible for Gift Aid? *	Yes No
Gift Aid Declaration 1 *	I would like to Gift Aid any donations that I have made in the past 4 year and all future donations from the date of this declaration. I would like to Gift Aid my donation today and any donations that I make in the future.
Gift Aid Declaration 2 *	I am a UK taxpayer. I understand that if I pay less income tax and/or capital gains tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay the difference. Please notify us if you would like to: • cancel this declaration • change your name or home address • no longer pay sufficient tax on your income and/or Capital Gains Note: If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

12 Security Check

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13 Checkout

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50% Deposit	$0

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