Name
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First Name
Last Name
Email
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Phone Number
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
DOB
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Gender
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Emergency Contact Name
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First Name
Last Name
Emergency Phone Number Phone
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(###)
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Please provide brief details of any medical conditions you have eg. include allergies, medications, psychiatric treatment, nervous disorder etc. Please advise if you are pregnant. If none please enter "None"
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Dietary Requirements or Allergies
Retreat Cancellation and Refund Policy: A non-refundable deposit of 50% is required to secure a booking. Balance of payment is due 4 weeks prior to commencement date. No refunds 2 weeks prior to start date. *Radio
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If re-naturing must cancel or change a scheduled retreat date for any reason, you may transfer your full retreat payment to another retreat, or you may request a refund of your payments to us, constituting a full settlement. re-naturing is not responsible for your expenses incurred in preparation for any cancelled retreat, such as airline tickets, loss of work, and/or other costs associated with preparing for your trip.
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How long have you been practising yoga?
What would you like to achive in this retreat?
Please specify the weekend retreat date you are booking for:
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'Touching the Earth' Byron Bay 13-16 Dec 2019.
Retreat Rules: To maintain the spiritual atmosphere: - No meat, fish or eggs are allowed. - No smoking, alcohol or drugs. Guests must endeavour to participate in all activities to experience the full benefits of the practice.
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How did you hear about the retreat?
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From Azayliah (Facilitator)
From Freea or Circada (Facilitator)
From Cade (Facilitator)
From Leah (Facilitator)
From Lucy (Facilitator)
From Juan (Facilitator)
Other.
Other (Specify)
Select the type of accommodation.
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Single Room Ensuite: $1,390 AUD
Single Room No Ensuite: $1,290 AUD
Double Room Shared Bathroom: $1,050 AUD
Other Comments.
Thank you for your registration. An email with detailed information will arrived on your inbox soon.
We look forward to re-nature with you very soon!
