The Nurtury Retreat
Registration Form 2011

Thank you for registering for one of our retreats. Please fill in the form below and include it with your cheque, made payable to wine women and philosophy.  Please contact us for our mailing address.

I would like to attend the following wwp retreat (please underline as appropriate) ...
  • wwp Summer Retreat 25-29 July, 2011
  • wwp Artists Colony Retreat 1-5 August, 2011

Please print your full name:



Contact address:





email address:



Contact telephone number(s):

Please inform us of any medical needs:




Please tell us if you have any dietary needs or foods you do not like:





To best provide you with the facilities you need while here with us, please let us know what you will be doing on your retreat.





Please circle the nights that you want to stay over:

July         M-25                             T-26                              W-27                       Th- 28

August    M-1                               T-2                                W-3                          Th-4

Each night-time stayover costs $130 ($100 for members) and includes1 lunch, 1 three-course evening meal and 1 self-serve breakfast. You can begin your stay with us with any one of these meals. If you stay for the whole retreat the cost is $450 ($395 for members). 

Please indicate below what time you will arrive on your first day with us:



Please indicate how much you are paying for your retreat: $__________

Rooms are allocated on first-come-first-serve basis and each person on the retreat gets their own room unless they choose to share with a friend. Please underline your room preference and we will try to accommodate it. 
  • Single room on first floor with a double bed
  • Double room on ground floor with 2 single beds
  • Bunkroom in basement with 3 single beds
Please check with us prior to booking to confirm room availability.

Conditions of registration:

  1. Places on the retreat are decided on a first-come-first-serve basis
  2. Due to the small group size there will be NO refund if you cancel within 14 days of the start date of the retreat
  3. Whereas every step is taken to ensure your safety during your stay at The Nurtury, should you or your possessions come to some harm whilst at the retreat, wine women and philosophy inc. cannot be held responsible. 

I have read, and agree with, the conditions of registration and have included a cheque for $_____ with this form.


Signed:__________________________

 

 

Date:  ___________________________



Confirmation of your booking will be made by email (please ensure that your email address is clearly written) within 7 days of receiving your registration form and payment in full.  At that point we will provide you with travel directions to The Nurtury along with any additional information regarding your stay.

Date received:
Confirmation email sent: