RETREATS BOOKING FORM

Full Name *

Contact phone number *

Email address *

Date of birth *

Passport number *

Address *

Emergency contact name & phone number *

Would you like us to arrange comprehensive travel insurance for you? (if NO please provide a copy of your travel insurance along with your deposit payment)? *

YesNo

Are you booking a single stay option or a twin share option? *

Single (AU$2485)Twin (AU$1895)

If you have a person to share with please list their name:

Are there any optional extras you would us to arrange on your behalf?

FlightsPersonal Tailor (leather, shoe, clothing)Cosmetic appointmentsHair treatmentsYoga classesSUP lessonsSurfing lessonsDay package at SheratonOther