Domus Mariae Residential Weekend How many people are you registering? * 1 2 3 4 5 6 7 8 9 10 (including yourself) Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue". If you would like to create an account on this site, check the box below and enter a Username and a password. If you already have an account please login before completing this form. Create an account? Username Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Password Confirm Password Provide a password for the new account in both fields. Your Registration Info First Name * Last Name * Email Address * If you have a discount code, enter it here Event Fee(s) * Early bird rate - £ 185.00 Total Fee(s) for this participant Payment Options Payment Method PayPal I will pay through online banking or by cheque. Attendees Room type * Single roomDouble room (upstairs)Twin room (ground floor) Dietary requirements: Sugar free Wheat free Yeast free Gluten free Dairy free Vegan Vegetarian Other Format preference - none - General Remedial/Therapeutic Mode of travel - none - Can offer lift locally Private (Car etc.) Public (Bus, Train etc.) Mobility aids user: Yes No Wheelchair user: Yes No Please note: PayPal commission charges for events booking online so if you prefer all of your payment to go to YHET, please select "Invoice" as the payment type when ordering.