June 2025 Bali Retreat

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Booking Details

Own Room - VillaOwn Room - LodgeShared Room - Villa (available for friends traveling together)

Inclusions

You have purchased a ticket for the Rest, Read and Receive Retreat happening from Sunday 1st - Friday 6th June 2025. This includes a 5-night stay at Sava Eco Retreat in your selected room. Your ticket includes 6x vegetarian breakfast, lunch and dinner commencing at 6pm on the 1st June, all classes, workshops, an excursion to local waterfalls and a 60-minute massage.

Exclusions

Your travel costs to and from the venue are not included in the ticket price. Additional food and beverages can be purchased at the resort at your own cost. Additional massages can also be booked and paid for directly at the resort.

Payment

A deposit of $300 AUD must be paid to reserve your spot. Your spot is not confirmed until the deposit payment has been received.

All payments can be made by bank transfer or via debit/credit card.

Please note: debit/credit card payments incur a transaction fee.

For debit/credit card payment please click the payment link at the bottom of the Retreat sales page following completion of this form.

For bank transfer within Australia please deposit $300 to the following account:

Emily Jarvis

BSB: 923100

Account: 61612526

Please use your full name as the reference.

Payment Options

Pay in full using debit/credit cardPay in full using bank transfer (save transaction fees)Payment plan via bank transferPayment plan via Stripe

Payment Plan Agreement: Your payments can be split evenly across monthly installments. Please list your preferred plan option and the dates you will pay.

Payment plans are to be fully completed no later than 1st April 2025

(two months prior to the retreat)

Refunds

The $300 AUD deposit payment is non-refundable. If you need to cancel before 1st April and have a valid reason you will be able to request a refund of the remaining balance of your ticket. If you wish to cancel after 1st April your ticket is non-fundable, however Emily will try to fill your spot on your behalf.

I agree that Emily Jarvis (The Sound Gypsy) is not responsible for any injury or illness that may occur during or after the Retreat stay

Yes

Please list any underlying health conditions, medical concerns, allergies, injuries or anything else you think is important for your facilitators to be aware of

Please list any dietary requirements

Photos

We will be taking photos and videos at points during the retreat. This is so we can share what we do with others. Footage of participants will not be taken without warning or consent. We respect the sacred container we will be co-creating together as a group and we will ensure every person's preferences will be fully respected. We will also have a Whatsapp group to share everyone’s images internally within our group.

I agree to having my photo taken

YesNo

Photos of me can be used for social media and advertising purposes

YesNo

I agree to bring an open mind and heart to this retreat. I will treat myself and others with respect and kindness. I agree to keep any information disclosed by others as confidential.

Yes

By signing below you are agreeing to all of the above terms and conditions

Bali Retreat - June 2025