CONTACT
Home
About
About Kookaburra Yoga
Calendar 2019
Membership
Class Passes & Gift Vouchers
Retreats
About our retreats
Sound Silence Stillness 1 Day
South India Yoga Ayurveda Retreat
Bluff Knoll Yoga & Hiking Retreat
Radiance Meditation Retreat
Yoga & Meditation Weekend Retreat
Bali Yogic Healing Retreat
Yoga & Cleanse Retreat
Classes
About our Classes
Timetable
Teachers
Courses
Yoga & Meditation Courses
Wellbeing
Counselling
Yogi's Kitchen Cooking Courses
Training
Hatha Yoga & Yogic Mindfulness Teacher Training with the Mohans
Thoughts from the Source
Yogi's Kitchen Blog
Subscribe to Newsletter
Your Stories & Reviews
Home
About
About Kookaburra Yoga
Calendar 2019
Membership
Class Passes & Gift Vouchers
Retreats
About our retreats
Sound Silence Stillness 1 Day
South India Yoga Ayurveda Retreat
Bluff Knoll Yoga & Hiking Retreat
Radiance Meditation Retreat
Yoga & Meditation Weekend Retreat
Bali Yogic Healing Retreat
Yoga & Cleanse Retreat
Classes
About our Classes
Timetable
Teachers
Courses
Yoga & Meditation Courses
Wellbeing
Counselling
Yogi's Kitchen Cooking Courses
Training
Hatha Yoga & Yogic Mindfulness Teacher Training with the Mohans
Thoughts from the Source
Yogi's Kitchen Blog
Subscribe to Newsletter
Your Stories & Reviews
Book your long weekend retreat
at Kookaburra Creek
Samadhi Retreat Booking Form
Personal Details
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Gender
*
Contact Details
Email
*
Mobile Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
If you are attending with a friend/partner you'd like to share with please enter their name
*
Accommodation
Select accommodation option
*
$945 Shared room
$895 Camping in own tent
$845 Own accommodation offsite
Health & food
List any allergies, food allergies/intolerances and dietary considerations
*
List any health issues and medications you are currently taking
*
Notes
Please let us know your reasons for attending this retreat, and any other considerations you think we should know.
Comment
*
Emergency Contact Person
Name
*
First
Last
Phone Number
*
Payment Options
Choose One
*
pay whole amount when booking
payment plan option for an extra $50
Final steps to register
Click the
SUBMIT
button below to go to our
BOOKING PAGE
.
Please select the option to
BOOK A CLASS
Select the
retreat option above
and
retreat date
on calendar
Follow the prompts to pay total amount. If you wish a
payment plan
, select pay later and
email us
.
Balance must be paid upon booking.
You can
pay securely
through Paypal or by credit card.
You will receive a tax invoice and email confirmation.
Prior to the retreat you will receive an
Information Email
with details about the retreat, what to bring and what to expect. You can also find this information on our website.
Submit & Proceed to Payment
