ST BEUNO'S Ignatian Spirituality Centre
in beautiful North Wales

APPLICATION FOR INDIVIDUALLY GUIDED RETREAT
Weekends & 4 - 8 Days
Please print and complete this booking form

(a PDF Booking Form is easier to print) >>

(Nb. For Three Month and Ten Week Programmes and for the Full Spiritual Exercises
a different application procedure is required, please enquire.)

I wish to book a place for the retreat or course (block letters please)

Retreat Number (if given) ..............                   Dates.......................................................

Title (Ring the appropriate) Mr, Mrs, Ms, Rev, Sister, Brother, Dr, other ...................

Surname.......................................................................................

First names...............................................................................................................

Address......................................................................................................................

......................................................................................................................

Town/City ............................................................................................................

County/State ....................................... Post Code............................................................

Telephone.............................................................

(Daytime Contact No.)...........................................

e-mail ..........................................................................................................................

I enclose a non-returnable registration fee of £.............................. £75 Sterling (£40 for Weekend Retreats)

It would be helpful if you could answer the following optional questions.

Age at last birthday ...........................

Religious Denomination.........................................

Status: please indicate as appropriate (e.g. married / single / priest / religious / etc.)

Present occupation....................................................................................................................

If you are applying for a retreat:

Have you made an IGR before?...................................................................................................

Are you willing to leave the choice of Director to the discretion of St. Beuno's .........................

If you are applying for a workshop or seminar:

Would you indicate briefly the area of your experience. (eg. prayer guidance, retreat giving, counselling.)

If you have been to St. Beuno's before please could you indicate when and for what kind of IGR or course.

....................................................................................................................................................

It would help us to plan your needs if you could say briefly why you wish to make this retreat or course.

..................................................................................................................................................

..................................................................................................................................................

..................................................................................................................................................

..................................................................................................................................................

..................................................................................................................................................

Have you any dietary, mobililty requirements, the loop sound system for those with hearing aids, or other special needs?

..........................................................

Where did you hear about St. Beuno's? ...................................................................................

To help us in allocating rooms, please indicate if you would be open to staying in one
of the cottage rooms for your retreat.  For description of accommodation >>

Please tick:
I would be happy to go in either the main house or a Cottage.
I would prefer to be in the Main House
I would prefer a Cottage Room

Please Return this Form to:

The Retreat Secretary, 
St. Beuno's,
St Asaph,
Denbighshire, LL17 0AS.
Wales UK

(From the UK) Please enclose a S.A.E. in order to receive confirmation of your booking.

Data Protection