Full address

Your personal mobile/cell

In case we need to contact you during the Retreat

Emergency contact name and telephone number

Please use this space to tell us anything else we should know about your diet

Medical conditions

Please use this space to let us know about any medical conditions or physical challenges you think we should know about

Non-participating partners - please use this section to tell us about the person who is accompanying you

What is their name? Do they have any dietary requirements ? Do they have any medical conditions we should know about? Please confirm whether they are fully vaccinated

Further information

Please use this space to add anything else you would like us to know

Thank you very much for completing the form.

Registration for Cocoknits at Goodnestone Park

Tuesday 18-26 April 2023