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Sound Silence Stillness 1 Day
Margaret River 4 Day Meditation Retreat
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Yoga & Cleanse Margaret River 8 Day Retreat
Bali Yogic Healing Journey
South India Devotion Retreat
South India Yoga Ayurveda Retreat
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Turiya Meditation Training
Sound for Wellbeing with Nitya Mohan
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Yoga Wellbeing Blog
Home
About
About Kookaburra Yoga
Calendar
Gift Vouchers
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
Bali Yogic Healing Journey
South India Devotion Retreat
South India Yoga Ayurveda Retreat
Classes
About our Classes
Timetable
Private Classes & Counselling
Teachers
Courses
About Our Courses
Absolute Beginners Yoga
Yoga Relax Meditate Course
Introduction to Meditation
Programs
Mohans Empowerment Through Yoga
Yogi's Kitchen Cooking Classes
Turiya Meditation Training
Sound for Wellbeing with Nitya Mohan
Wellness
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
*
2020 Yoga & Cleanse dates
Select your retreat date/s
*
Sat 6th- Sat 13 March 2021
Accommodation
Select accommodation option
*
$1640 Shared room
$2750 Luxury apartment for 1 person
$3900 Luxury apartment couple
Payment Options (pay upfront or choose payment plan)
Choose payment option
*
full upfront payment (50% deposit + 50% balance)
6 month payment plan (6 equal 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
