Retreat Application Form
It won't take long!
Your name, please
Date of birth
Are you coming alone?
Who is your room partner, if accompanying:
Do you suffer from any health conditions, injuries or disabilities?
Do you have any allergies:
Tell us about your meditation or yoga experience, if any:
Retreat dates attending
7 days retreat: 17-23 Oct 2019
5 days retreat: 17-21 Oct 2019
Based on the accommodation types available, which one do you require?
Single room (limited spaces)
2 individuals sharing
3 individuals sharing (same gender)
By which means are you planning to pay?
By bank transfer (will email you account details)
By cash (in one of our locations)
How did you hear about our retreat?
Anything you'd like to know?
We look forward to meeting you soon!