Wild Nature Retreat booking form

    Personal Details

    Retreat Date

    Accommodation

    Couple/Friends Booking Details

    If you are booking for a 2nd person please provide details of the second guest. They will need to complete their own Participation Form.

    Health

    Emergency Contact Person

    Carpooling

    Please indicate if you would like to share the drive as either a driver or passenger. Anyone carpooling is welcome to leave vehicles in the carpark at Kookaburra Yoga, which for most people coming from Perth on the Albany Highway, is on the way.

    Terms & Conditions

    Payment Options

    • Full payment confirms your place.  On completing this form you will be directed to the payment page to complete the booking process.
    • ​If you are unable to pay the whole amount and would like a 6 month payment plan for an extra $100 please select pay later and email us.
    • If the retreat is cancelled due to COVID you will be offered a place on a rescheduled date or a full refund.

    Final steps to register

    • Click the SUBMIT button below to go to our BOOKING PAGE.
    • Select the same retreat option above and on calendar
    • Follow the prompts to make your payment 
    • You can pay securely with a credit card. 
    • To pay by bank transfer, Payment Plan or Paypal select Pay later and use the details in the invoice to make your payment.
    • You will receive a tax invoice email confirmation once your payment is made.
    • Once you have registered you will receive a Participation Form which must be completed prior to attending
    • A week 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 all this information on our website.