Reset Retreat Cambodia - Expression of Interest
22nd Nov - 30th Nov 2024
Arriving at Bygone Boutique Hotel, Siem Reap on Thur 21st and departing on Sat 30th
Full Name
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Email
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Contact number
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Dietary restrictions (please note that peanut traces are common in Cambodia)
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Physical activity restrictions (you will need to be able to walk at a steady pace for an hour at a time - no strenuous activities planned)
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Would you prefer a single room, or would you prefer to share if we can appropriately match you?
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Please Select
Single - total retreat cost $3,950AUD
Shared - total retreat cost per person $3,600AUD
Note: Please refer to FAQ for inclusion and exclusions
I agree to conduct myself in a manner that will not negatively impact others, and at all times be culturally respectful.
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Please Select
Yes, I agree
No, I do not agree
Please note that disrespectful behaviour may result in being removed from the retreat at own expense.
I have read the Frequently Asked Questions and have a good understanding of what is to be expected.
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Please Select
YES
NO - **please read before submitting this form
I understand I will be contacted within 3 business days of submitting this form, to discuss and finalise suitability, registration and payment options.
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Please Select
I understand
You will also be sent Terms & Conditions, and upon viewing this document you will have the option to withdraw this application.
If approved, I agree to pay the deposit of $500AUD (non refundable), within 14 days, and to pay outstanding balances by 31st August 2024.
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Please Select
Yes, I agree
No, I do not agree
Is there anything you need to know before committing to join the retreat?
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Signature (typed name will be considered an e-signature)
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Submit
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