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About our retreats
Retreats Calendar
Sound Silence Stillness 1-Day
Devotion Evening Retreat 23 Sept
Sanctuary Women's 4 Day Retreat Margaret River
New Year's Eve Sound Silence Stillness Retreat
Bali Women's Yoga Healing Retreat
Bluff Knoll Yoga & Hiking 3-Day Retreat
Blue Sky Mind 4 Day Meditation Retreat Margaret River
South India Devotion Retreat
>
Participation Form India Devotion
Kookaburra Yoga Stay Personal Retreat
classes
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timetable
Booking Calendar
Memberships & Passes
Weekly Classes
Private Classes
Corporate & Private Groups
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courses
About Our Courses
Absolute Beginners Yoga
Yoga Relax Meditate Course
Introduction to Meditation
Yogic Living Cooking Course
training
Yoga & Meditation Teacher Training 2024
Mentoring & Professional Development
events
Music of the Trees & Forest Drumming
Movement & Sound Workshop
Shakti Womens Circle Saturday am monthly
Soma Yoga Healing Saturday eve monthly
Summer Solstice & Christmas Celebration
home
about
Our Yoga
Our Place
Our People
Calendar
Counselling
Social
Gift Vouchers
retreats
About our retreats
Retreats Calendar
Sound Silence Stillness 1-Day
Devotion Evening Retreat 23 Sept
Sanctuary Women's 4 Day Retreat Margaret River
New Year's Eve Sound Silence Stillness Retreat
Bali Women's Yoga Healing Retreat
Bluff Knoll Yoga & Hiking 3-Day Retreat
Blue Sky Mind 4 Day Meditation Retreat Margaret River
South India Devotion Retreat
>
Participation Form India Devotion
Kookaburra Yoga Stay Personal Retreat
classes
About our Classes
timetable
Booking Calendar
Memberships & Passes
Weekly Classes
Private Classes
Corporate & Private Groups
Teachers
courses
About Our Courses
Absolute Beginners Yoga
Yoga Relax Meditate Course
Introduction to Meditation
Yogic Living Cooking Course
training
Yoga & Meditation Teacher Training 2024
Mentoring & Professional Development
events
Music of the Trees & Forest Drumming
Movement & Sound Workshop
Shakti Womens Circle Saturday am monthly
Soma Yoga Healing Saturday eve monthly
Summer Solstice & Christmas Celebration
Book your Yoga & Hiking Retreat
Bluff Knoll Yoga & Hiking Retreat
Booking Form
Personal Details
*
Indicates required field
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mobile Number
*
Gender
*
Date of Birth
*
If you are attending with a friend/partner you'd like to share with please enter their name
*
Retreat Date
Choose One
*
4 - 6 June 2022
Accommodation
Select accommodation options
*
$690 Twin share room CHALET (pp)
$890 Single Room CHALET (pp)
$1380 Double or Twin Room CHALET (2 people)
$1680 Private Cottage (2 people)
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.
2nd Participant's Name
*
First
Last
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Email
*
Health
List any allergies, food allergies/intolerances and dietary considerations
*
List any health issues and medications you are currently taking
*
Rate your level of fitness
*
very fit
moderate
unfit
Emergency Contact Person
Name
*
First
Last
Phone Number
*
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.
Select your preference
*
Driver
Passenger
Terms & Conditions
Please read the
Terms & Conditions of Retreat Participation
prior to submitting this form. You must agree to the Terms and Conditions and submit the Waiver of Liability Form prior to attending the retreat.
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.
Submit & Proceed to Terms & Conditions