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Sound Silence Stillness 1 Day
South India Yoga Ayurveda Retreat
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Radiance Meditation Retreat
Yoga & Meditation Weekend Retreat
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Yoga & Cleanse Retreat
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Hatha Yoga & Yogic Mindfulness Teacher Training with the Mohans
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Yogi's Kitchen Blog
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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 Yoga & Cleanse Retreat
at Kookaburra Creek
Yoga & Cleanse Retreat
booking form
Personal Details
*
Indicates required field
Name
*
First
Last
Email
*
Date of Birth
*
Gender
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mobile Number
*
If you are attending with a friend/partner you'd like to share with please enter their name
*
2018 Yoga & Cleanse dates
Select your retreat date/s
*
Autumn Cleanse Fri 23 - Sun 25 March
Winter Cleanse Fri 20 - Sun 22 July
Spring Cleanse Fri 12 - Sun 14 October
Summer Cleanse Fri 7 - Sunday 9 December
Accommodation
Select accommodation option
*
$495 Shared room
$395 Non-residential (stay offsite)
$440 Camp onsite
Special Offer - Book 2 retreats for $100 discount
I'd like to take up this offer
*
Yes
No
Payment Options (pay upfront or choose payment plan)
Choose payment option
*
full upfront payment
3 month payment plan (3 payments)
Health
List any allergies, food allergies/intolerances and dietary considerations
*
List any health issues and medications you are currently taking
*
Emergency Contact Person
Name
*
First
Last
Phone Number
*
Payment Options
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 payment plan please be in touch.
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
make your payment
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.
Submit & Proceed to Payment
