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About our retreats
Sound Silence Stillness 1 Day
Margaret River 4 Day Meditation Retreat
Bluff Knoll Yoga & Hiking 3 Day Retreat
Yoga & Cleanse Margaret River 8 Day Retreat
Womens Healing 1 Day Retreats
Kookaburra Yoga Stay Personal Retreat
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About Our Courses
Absolute Beginners Yoga
Yoga Relax Meditate Course
Introduction to Meditation
Yogic Diet Cooking Course
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Yoga & Meditation Teacher Training
Events
Havan Meditation
New Year's Eve Sound Silence Stillness Retreat
Christmas Solstice Celebration
South India Yoga Ayurveda Retreat
South India Devotion Retreat
Bali Yogic Healing Journey
Yoga Wellbeing Blog
Home
Info
About Kookaburra Yoga
Gift Vouchers
Terms and Conditions
Retreats
About our retreats
Sound Silence Stillness 1 Day
Margaret River 4 Day Meditation Retreat
Bluff Knoll Yoga & Hiking 3 Day Retreat
Yoga & Cleanse Margaret River 8 Day Retreat
Womens Healing 1 Day Retreats
Kookaburra Yoga Stay Personal Retreat
Classes
About our Classes
Timetable
Private Classes & Mentoring
Teachers
Courses
About Our Courses
Absolute Beginners Yoga
Yoga Relax Meditate Course
Introduction to Meditation
Yogic Diet Cooking Course
Training
Yoga & Meditation Teacher Training
Events
Havan Meditation
New Year's Eve Sound Silence Stillness Retreat
Christmas Solstice Celebration
South India Yoga Ayurveda Retreat
South India Devotion Retreat
Bali Yogic Healing Journey
Yoga Wellbeing Blog
Book your week of rejuventation and healing
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
*
Yoga & Cleanse dates
Select your retreat date/s
*
Sat 6th - Sat 13 March 2021
Tues 12th - Tues 19th October 2021
Accommodation
Select accommodation option
*
$1990 pp Twin share room
$2990 pp Luxury apartment
$3990 Luxury apartment - couple (2ppl)
$2490 pp Single room offsite
$1990 pp Twin share room offsite
Payment Options (pay upfront or choose payment plan)
Choose payment option
*
$400 Deposit now, pay balance prior to retreat
6 month payment plan ($400 deposit, then 5 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
pay your deposit
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
