Private Retreat Inquiry Form

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* These fields are required

1 I would like information about a Private Retreat on Enders Island

2 My preferred dates are:

3 Participant Info

How many are in you party? (Including yourself) *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Comments or Special Needs
Gender
Please list all your dietary needs.	Ex: Gluten Free, Dairy Free, or any allergies
Meal Type Guest 1 ( You) *	No Restriction Vegetarian Vegan Pescatarian Dairy Free Gluten Free Wheat Allergy Dairy Allergy Soy Allergy Sesame Allergy Tree Nut Allergy Egg Allergy Other- Call the office at 860-536-0565 Shellfish Allergy We prioritize your safety and strive to accommodate your dietary needs. However, we cannot guarantee that our meals are free from allergens, and we cannot eliminate the risk of cross-contamination. Please be aware that we are not a certified gluten-free establishment. All dietary restrictions will be accommodated by an additional charge, as noted above. If you have more than two (2) restrictions or allergies, we kindly request that you bring your own food, as we do not have the capacity to meet more than two requirements. By dining with us, you acknowledge and accept the inherent risks associated with food allergies and sensitivities.
Emergency Contact Info *	Name and Phone number
Medical Issues	Enter "none" if you have no issues
How did you hear about us?
If this booking will be for more than (1) person, please provide the other guests name and if they have any dietary restrictions.	First and Last Name & Dietary Restrictions for Additional Guest(s)
Security check *	Type the text shown:
Arrival Time *	Room Check-In Begins at 3:00 PM
Would you like to take your meals in silence? *	If not, you will be placed in a community dining room.
Please let us know if you are a Cleric, a member of a Religious community, or are in Formation. *	If none of the above apply to you, please note "n/a"

St. Edmund's Retreat | 1 Enders Island, Mystic CT, 06355 | 860-536-0565 | info@endersisland.org