1. Full Name:
3. GSM/Mobile Phone Number:
5. Do you have any physical condition/handicap that may prevent your participation in physical activities and/or climbing stairs? Yes No
- If yes, please specify – if you are comfortable (this information will be treated confidentially):
1. I can pledge the following amount to the retreat cost: 20€ (for the deposit) 30€ 40€ 50€ 60€ 70€ (full amount) other*If Other please specify amount:
2. I would like to apply for a sponsorship to attend the retreat: Yes No
3. I hereby commit to honor my intention to attend the retreat, as well as to follow through on my financial pledge, as best I can: Yes No
*(If you feel led, you may donate an additional amount to provide assistance for someone else to attend…please indicate this in the “other” option:)
1. Can you come in your own car? Yes No
2. Can you travel in the group convoy (departing from De Stroming at 19:00, on 22 September)? Yes No
- If no, when can you depart?
Friday (22 September) evening after 19:00. Saturday morning (23 September).
3. Do you plan on leaving the retreat early for any reason? Yes No
- If yes, when & at what time?
1. Do you have any food allergies/preferences? Yes No
- If yes, please explain:
- If yes, do you prefer providing your own meals? Yes No
1. I can provide a seat(s) in my car! Yes No Please specify amount:
2. I can help with meal preparation, cleanup and general setup of venues: Yes No
3. I can help with setup/planning of recreational activities: Yes No