RetreatsRetreat Programme Booking form for day retreats Booking form for day retreats One form per guest and an option to pay towards the booking. Choose a retreat* Quiet Friday: 11th October - £15 per person Pursuing Holiness (led by Robert Elliot): Saturday 2nd November - £30 per person Quiet Friday: 8th November - £15 per person The Life Journey Map (led by Elizabeth Elliot): Saturday 16th November - £30 per person Quiet Friday: 13th December - £15 per person Your detailsName* Prefix MrDrMissMrsMsProf.Rev. First name Surname Gender* Male Female 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 IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Your email address*So that we can acknowledge your booking or let you know if there is a problem Phone number*DenominationCatholicAnglicanOther ChristianOtherHow 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 PaymentTotal £ 0.00 Cost alone should not prevent anyone from attending our events. Please contact us, in complete confidence, should you wish to discuss any financial difficulties that you may have or to apply for a bursary (please apply in writing, explaining your circumstances).How would you like to pay?* Online via PayPal or credit/debit card Bank transfer (BACS) Terms and conditions*All deposits are non-refundable. If cancellation is within 1 month of the booking then 50% of the full fees are due. If it is within 2 weeks of the booking then 75% of the full fees are due. If it is within 1 week of the booking then 100% of the full fees are due. I agree to these conditions.We will store and process this information securely in line with our terms and privacy policy.Tick to show you're not a robotThis 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!