Your Name
Your Name
DD/MM/YYYY
If you are registering with someone who will be your roommate, please give their First and Surname name
If you are registering with someone who will be your roommate, please give their First and Surname name
YOUR CONTACT INFORMATION
Postal Address *
Postal Address
ABOUT YOU
Do you practice Naada Yoga (Yoga of Sound)
Please tick one of the buttons below
I prefer asanas (postures) that are *
Please tick your preference:
ACCOMMODATION REQUIREMENTS:
The fee is based on twin share accommodation, for a single room there is a single supplement of $100 for the Retreat. If you opt for a twin room and we can't pair you up with someone there will be the $100 single supplement to pay.
Do you snore? *
TERMS & CONDITIONS
The following boxes must be ticked, indicating that you have read, understand and agree to all points stated. To secure your booking all boxes must be ticked.
I understand and agree: *
Full Name *
Full Name
TYPE YOUR EMAIL ADDRESS: I have read and agree to the cancellation and Terms and Conditions Policy. I agree that by submitting my name, the date and my EMAIL address below, this hereby constitutes my signature.
DD/MM/YYYY
Acknowledgement *