Immerse Yourself in Bali Reservation

Please use this form to check availability. Although the availability is updated daily it might be that a retreat is no longer available. We recommend you to book your flights only after we confirm your booking. Please make sure you book a flight that arrives prior to 1 pm on the start day of the retreat.

Please select the retreat of your choice:

Retreat in Ubud scheduled for 2014 on:


11 – 16 May 2014
August 31 - September 5, 2014
Nov 30 - Dec 5, 2014

* Please use this form to check availability. Although the availability is updated daily it might be that a retreat is no longer available.

Do you wish to book the Early Arrival Package? Yes   No
(Including 1 night accommodation & breakfast, morning yoga class, Bridging Table dinner at bridges Bali restaurant, free transport to Ubud town)

Occupancy

Single Occupancy
Double occupancy (1 bed)
I am travelling with a friend and wish to share a twin room (2 beds)
I am travelling alone and wish to share a twin room (2 beds) with another
     retreat participant *


If you are travelling with a friend / partner, what is the name of your room mate? (Please note: Each participant must fill out a form.)


* If you have chosen twin share (2 beds) but are travelling alone, you will be paired up a suitable roommate.

Personal Information

• First Name
:
*


• Family Name
:
*


• Home Address
:


• Country
:
*


• Home Telephone Number
:
*


• Office Telephone Number
:


• Mobile Phone Number
:


• E-mail address
:
*


• Re-enter your email
   address
:
*


• Arrival Flight Date
   (If you don’t have your flight
   details yet you can leave
   this open. We strongly advise
   you to book a flight that
   arrives prior to 1 pm on the
   start day of the retreat.)
:


• Arrival Flight Details to Bali
:
Airline :      Flight #


• ETA (estimated time
   arrival)
:


• Departure Flight Date
   (if you donít have your flight
   details yet you can leave
   this open)
:


• Departure Flight details
   from Bali
:
Airline :      Flight #


• ETD (estimated time
   departure)
:


• Do you wish to stay with
   us prior to the retreat?
:
Yes No


• If yes, date of arrival at
   ONEWORLD retreats -
   Kumara
:


• If no, where will you stay
   prior to the retreat?

   (name and place of
   accommodation and
   phone number)?
:


• Do you wish to stay with us
   after the retreat?
:
Yes     No


• If yes, date of departure
   from ONEWORLD retreats -
   Kumara
:


• If no, where will we take
   you after the retreat?
(name
   and place of accommodation
   and phone number)?
:


• Have you been to Bali
   before?
:
Yes No


• Have you attended one of
   our retreats before?
:
Yes No


• Your Birthday
:
   


• Yoga Experience
:


• Type of Yoga
:


• Do you practice meditation
   on a regular basis?
:
Yes No


• Have you practiced
   meditation in the past?
:
Yes No


• Meal Preferences (please
   note that we do not serve
   red meat or pork)
:
I am a vegetarian
I am a pescetarian, (I am a vegetarian but
      eat fish)
I am a vegan (I don't eat any meat, eggs,
      dairy products)
I have none of the meal preferences above


• If you have any other meal
   preferences, please let us
   know:
:


• Please explain if you have
   any physical disorder that
   we should be aware of


:



• Special Request
:


How did you hear about us? (Please be specific e.g. Google, website, magazine, friend's name etc.)
:



RETREAT PARTICIPANTS DISCLAIMER


I have read and agree to the Consumer Disclosure Notice
      Note: You will be asked to sign the disclaimer upon arrival at the retreat.

We will confirm your reservation within 36 hours.