Booking Form for Online Retreats

Booking Form for Online Retreats

For one person at a time and an option to pay towards the booking.

• Retreat name*
  IMPORTANT! Please select the retreat you wish to book:
  Romero and the Salvadorian Martyrs - 12th-14th MarchThe Holy Shroud - 26th-28th MarchEaster Retreat - 31st March-4th April
• Other Retreat
  Please specify
• Would you be able to make a donation towards the cost of this retreat?*
  We make no charge for these online retreats but would appreciate a donation to cover our costs and overheads.
  • Yes
  • No
• How much would you be able to contribute?*
  • Suggested contribution of £20 for day retreat
  • Suggested contribution of £30 for weekend retreat or the Easter Retreat
  • Suggested contribution of £100 for all remaining retreats
  • My own contribution
• Amount*
  Please tell us how much you are able to contribute.
• How would you like to pay?*
  • Online via PayPal or credit/debit card
  • Bank transfer (BACS)
• Name*
  Prefix MrDrMissMrsMsProf.Rev. First Last
• Your email address*
  So that we can acknowledge your booking or let you know if there is a problem
• Phone number*
• Address*
  Street Address Address Line 2 City ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands
• Age range
  Under 1818-2425-3536-4950-65over 65
• Denomination
  CatholicAnglicanOther ChristianOther
• Other denomination
• How did you hear about this retreat at Worth Abbey?
• Would you like to be added to our mailing list?*
  We will email you around 2-3 times a year with news and information about what's happening at Worth Abbey. We won't sell or pass on your details.
  • Yes
  • No

• We will store and process this information securely in line with our terms and privacy policy. Some of our online retreats are facilitated and managed by a Third Party (i.e. Zoom registration and login), so it will be necessary to share your email address with them.

• Tick to show you're not a robot
  This uses Google's reCaptcha service.
• We will take you to PayPal after you click the button below. Thank you!
• We'll provide our bank details after you submit the form. Thank you!

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