Reservation - Women's Mindfulness 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.
Your passport needs to be valid at least 6 months after your return flight from Bali.

The retreat of your choice

* Retreat date:
27 August - 1 September 2017

« View the retreat page

* Room type
Single occupancy

     Double occupancy (1 bed) — Roommate's name**
Twin share (2 beds) — Roommate's name**
**Please note: Each participant must fill out a form
I am travelling alone and wish to share a twin room (2 beds) with another retreat participant.
(You will be paired up with a suitable roommate. In case we don't find a room mate,
then your booking and retreat price will be for single occupancy)

All fields marked with an asterisk ( * ) are required.

Your Personal Information

* First name
* Family name
Home address
* City
* Country
* Home phone number
Office phone number
Mobile phone number
* Email address
* Re-type email address
Name of contact person in case of emergency
Contact person phone number
Contact person email address

Extending your stay

Do you wish to stay with us
prior to the retreat?
Yes     No
When do you wish to arrive at our resort?
Do you wish to book the Early Arrival package for the Saturday night
prior to the retreat?
Yes     No
(Including 1 night accommodation and breakfast, morning yoga class, three course dinner at bridges restaurant, free transport to central Ubud town)

Do you wish to stay with us
after the retreat?
Yes     No
Date of departure from
ONEWORLD retreats - Kumara
Do you wish to book the Late Departure package for the Friday night
after the retreat?
Yes     No
(Including 1 night accommodation and breakfast, Wine Master Class at bridges, a glass of wine of your choice, 10% off when dining at bridges, choice of Facial
or Relaxing Massage)

Additional Information

* Have you been to Bali before?

Yes     No

* Have you attended one of
our retreats before?

Yes     No

*Date of birth
Do you have any history of mental health issues or recent traumatic events that may impact on your experience?
How are you currently managing these issues?
Do you have any specific expectations of this retreat?
* Yoga experience
Type of yoga
* Do you practise meditation
on a regular basis?

Yes     No

* Have you practised meditation
in the past?

Yes     No

* Meal Preferences
(please note that we do not serve
red meat or pork)
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,
ONEWORLD ambassador, friend's name etc.)
* On which device did you access our website?
Ambassador code
(If applicable)


Note: You will be asked to sign the disclaimer upon arrival at the retreat.
We will get back to you within 48 hours.