Retreat Registration
Retreat to Nature 2025
Name
*
First Name
Last Name
E-mail
*
example@example.com
Date of Birth
Please select a day
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Day
Please select a month
January
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Month
Please select a year
2024
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Year
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Gender
Please Select
Female
Male
Non-binary
Accommodation
Room Option (prices in SGD)
*
Double/Twin Sharing (Early bird $899, Regular Price $1,149)
Triple Sharing (same price as double/twin)
Single Occupancy (Early bird $1,149, Regular Price $1,399)
If you are rooming with a friend/family, please provide their name:
Yoga & Activities
What is your yoga asana experience? e.g. complete beginner, regular practitioner, irregular practitioner
*
Do you have a meditation practice? If so, would you like to share what it is?
*
Do you have any medical conditions or injuries? (e.g., blood pressure conditions, vertigo etc.)
*
Arrival Date & Time
Please indicate your interest in the following:
Airport pick-up at IDR 600,000 per car (private, no sharing)
Car Pool option - subjected to guests arriving same time - at IDR 600,000 per car
In-room private massage at IDR 250,000+++
Yet to decide
Do you have anything you'd like to add, or any questions?
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