Heart Sutra Retreat - Booking Form

Please complete and submit this booking form.
Your Contact Details * Required fields
Your Buddhist Experience
Yes   No
Yes   No
Yes   No
Yes   No
Medical Information
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes, I am snoring   Yes, I have sleep apnea and am using a CPAP machine   No
Non-Dairy
Wheat Free

Sorry, we are not able to cater for other allergies.
All our meals are vegetarian, if you are vegan please note that there are enough choices.
Yes   No
Yes   No
Your Schedule
 
 
Translation
Not required   Italian   Spanish  
Retreat Material
No   Yes  
Choice of Room (Please choose three "different" options in the drop down list)