1061 Booking Form

Welcome to the 1061 Bookings Site

Please complete the form below to book onto your 1061 retreat.

Each retreat costs £80 which covers accomodation, meals and the formation programme for the weekend. We offer two subsidised options. If you can afford the full rate this will help us cover the overall cost of the programme.

Every retreat is ‘stand-alone’ and can be booked individually or with another.

PLEASE NOTE DATES ARE CURRENTLY BEING RE-PLANNED FOR 1061. IF YOU ARE INTERESTED IN FUTURE RETREATS PLEASE EMAIL 1061@WALSINGHAM.ORG.UK. THANK YOU

Total £0.00

Full Name*

Address*

Date of Birth*

DayMonthYear

Emergency Contact*

Emergency Contact Number*

Is this your first 1061 retreat?*

YesNo

Have you previously visited the Shrine of Our Lady of Walsingham?*

YesNo

Have you previously attended a Youth 2000 event?*

YesNo

Where did you hear about 1061?*

Is there anyone you would like to share a room with?

Do you have any medical conditions? If yes, please state.

Do you have a disability that requires assistance or disabled facilities?*

YesNo

Please state any dietary requirements that you have.

On the beginning Friday evening of each retreat there will be supper at 7PM. Will you be joining us for this meal?*

YesNo

Are you attending as a speaker, religious, priest or team member?*

YesNo

Would you be interested in a pickup from King’s Lynn Station on Friday evening at 6pm and a drop off on Sunday afternoon? If you select yes, the 1061 Team will get in touch with you to confirm availability and pickuparrangements.*

Yes, I am interested in a pickup from King's Lynn Station at 6pm on the Friday.Yes. I am interested in a dropoff at King's Lynn Station on the SundayNo

Photographers may be present taking pictures and footage at the event. These images may be used, without further notification, at a later date to market this event, within the following printed materials: brochures, newsletters, Catholic newspapers, marketing material, videos, and / or as digital images such as those on the Walsingham Catholic Shrine website & the Youth 2000 website, Facebook and Flickr pages.

Do you consent to being photographed and for the photos to be used in the context outlined above? **

I consentI do not consent

By saying you do not consent to being photographed, you are accepting the responsibility to introduce yourself to our photographer and make your position clear to him/her. If you have any questions, please contact 1061@walsingham.org.uk