Loyola Hall: Jesuit Spirituality Centre

(Items marked with * are required)

Retreat/Course Title *

Dates *

Name *

Address *

Postcode *

E-Mail *

Telephone

Any particular dietary needs (e.g., vegetarian)?

Any other needs (e.g., mobility limitations, etc.)?

Any other information you want to give us?

Have you made retreats before? If so please indicate what sort.

It might help us if you could say briefly what you are hoping for from this retreat/course.

Have you been to Loyola Hall before? No Yes

What is your gender? Female Male

Are you an ordained minister? No Yes

Do you belong to a religious order? No Yes

What kind of church do you belong to? Roman Catholic Anglican Methodist Free Church None Other

What age group are you? Under 30 31-45 46-60 61-75 Over 75

How did you find out about this event? Programme Mailing Web Page Retreat Magazine Advertisement Word of Mouth Other