Index

Registration Form

Please complete using BLOCK CAPITALS and return to: The Secretary, St. Beuno’s, St. Asaph, Denbighshire, LL17 0AS

Event Title: *

Title: *

First Name: *

Surname: *

Address: *

Town: *

Post Code: *

Country if not UK:

Home phone no: *

Mobile phone no: *

Preferred contact: *

Email: (Acknowledgement of your registration and information about payment will be sent by email) *

Date of Birth *

Gender: *

Marital Status:

Member of The Friends Of St Beuno’s: *

Denomination: *

Are you an ordained minister? *

Do you belong to a religious order? *

If yes, please state which order

Occupation: *

How did you hear about the event? *

Have you been to St Beuno’s before? *

Dietary Information

We can meet some of the catering needs of guests with certain medically diagnosed allergies and special diets – these are listed below. Given the scale of our catering and the limited budget within which we operate, it is no longer possible for us to offer substitute dishes for those with other allergies, though we can of course inform you about allergens in our dishes. We ensure that there is sufficient fruit, bread, salads and vegetables for people who are not able not to eat a particular dish. All dietary needs should be raised when booking. It is not possible for us to meet special dietary needs that are only made known to us on arrival. Please check as appropriate:

Gluten&Wheat free

Dairy Free

Shellfish allergy

Nut allergy

Vegetarian (eats fish)

Vegetarian (no fish)

Vegan

Please provide any other special needs or health issues if applicable

Have you any other health issues or special needs such as mobility limitations?

If so, please give details (This information will help us to ensure you are allocated an appropriate room.)

Accommodation, Please indicate your preferences:

Accommodation is in comfortable single rooms. Towels, soap and bedding are all provided. There is a lift from the ground floor up to Chapel Gallery in the Main House. In addition we have a few cottages within a few minutes’ walk from the Main House. We advise Main House accommodation if you find a short climb or stairs difficult. Please note that we may not be able to give you your preference, depending on the rooms available for each event.

First choice *

Second choice *

Third choice *

Emergency Contact details:

Please tell us who you want us to contact.

Name: *

Tel No: *

Email: *

Time of Arrival and Departure:

Our events usually begin at 6.30pm on the first date and end after breakfast on the last date (Weekend events end Sunday about 4pm). Please try to arrive between 4pm and 5pm to have time to settle in. Our website has details of how to get to St Beuno’s and of taxis from Rhyl station. See http://www.pathwaystogod.org/centres/st-beunos/visiting-st-beunos