Empowerment Through Yoga Booking Form

    Personal Details

    Select program attending

    If you are attending public talk only
    ​     scroll down to book now

    If you are attending the 5 day program
    please also complete the following fields:

    Emergency Contact Person

    Payment Options

    On completing this form you will be directed to the payment page to complete the booking process and pay your initial deposit. This confirms your place.

    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 YOGIC MINDFULNESS PROGRAM on calendar
    • You can pay securely through Paypal, credit card or direct deposit.
    • 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.