Discover your Energy type, Follow its Flow, Love Yourself

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 the retreat of your choice

Retreat in Ubud scheduled for 2013 on:

May 5 - 11 , 2013

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

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
:


• Arrival Flight Details to Bali
:
Airline :      Flight #


• ETA (estimated time
   arrival)
:


• Departure Flight Date
   (if you don’t 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.