Yoga Bliss in Bali retreat

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 select your options:

Retreat in Ubud scheduled in 2013 on:

December 8 - 13, 2013


Occupancy

Single Occupancy Twin Share (1 bed) Twin Share (2 beds)

If you are sharing a room, what is the name of your room mate?


Please note: Each participant must fill this registration form separately.

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
:


• Arrival Flight Details to Bali
:
Airline :      Flight #


• ETA (estimated time
   arrival)
:


• Departure Flight Date
:


• Departure Flight details
   from Bali
:
Airline :      Flight #


• ETD (estimated time
   departure)
:


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


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


• If you are staying
   somewhere else, where
   will you stay prior to the
   retreat?
:


• Telephone number of your
   accommodation prior to the
   retreat? (if apply)
:


• Where will we take
   you after the retreat?
:


• Have you been to Bali
   before?
:
Yes No


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


• Your Birthday
:
   


• 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 donít 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:
:


• Special Request
:


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



CONSUMER DISCLOSURE NOTICE


I have read and agree to the Consumer Disclosure Notice

We will confirm your reservation within 36 hours.