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Nannup Yoga Retreat Registration
11
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1
Name
*
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First Name
Last Name
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2
Phone Number
*
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3
Email
*
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example@example.com
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4
Dietary Requirements
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5
Accommodation
*
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If your first preference is no longer available we will contact you to discuss other options.
Camping $299
Loft $399
Single Room $745
Shared Room $495
Couple $990 (for two)
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6
If you are planning on coming with a friend/s OR as a couple, please let us know who you are coming with so we can allocate rooms accordingly:
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7
Yoga Props
*
This field is required.
What yoga props do you need us to bring for you?
Mat
Strap
Blocks
Bolster
Blanket
None, I'll bring my own
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8
Massage
Are you interested in booking in for a Massage on the Saturday for an additional cost?
YES
NO
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9
Next of Kin Name
*
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First Name
Last Name
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10
Next of Kin Relationship
e.g. husband, sister, daughter etc.
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11
Next of Kin Phone Number
*
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