Booking Form 11th - 17th October 2025

Wildlife & Yoga Retreat Booking Form: October 2025

Join us for 6 nights of yoga, wildlife, connection, and soul-deep restoration in Kenya. This form takes 3 minutes. Let's get you booked in.
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Upload Passport*

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E-mail*
example@example.com
Contact Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

Who should we contact in case of an Emergency?
Emergency Contact Name:*

First NameLast Name
Emergency Contact Phone Number (including country code):*
Please enter a valid phone number.
Emergency Contact Email*
example@example.com
Health & Wellness
Do you have any current or past injuries or medical conditions we should be aware of?
Please provide details to help us ensure your safety and comfort.
Are you currently taking any medications?
If yes, please list them.
Do you have any allergies or dietary restrictions?
e.g., vegetarian, gluten-free, nut allergy.
Are you comfortable with essential oils or incense sticks being used during sessions?*

YesNoOther
Yoga Experience

All abilities are welcome, even complete beginners.
How would you describe your yoga experience?*
(Beginner / Intermediate / Advanced)
What styles of yoga have you practiced?*
e.g., Vinyasa, Hatha, Yin.
What are you hoping to gain from the yoga sessions during this retreat?
Doesn't have to be anything!
Safari Experience
Have you been on a safari before?

YesNoOther
What aspects of the safari are you most excited about?
e.g., wildlife viewing, horse riding, photography, cultural experiences.
Retreat Expectations
What are you hoping to achieve from this retreat?
e.g., relaxation, adventure, personal growth, healing or just a good time!
Is there anything we can do to make this experience truly unforgettable for you?
Book Your Room

Which Room would you. like to book?*

Private Room King bed in a private en-suite suite. Spacious, peaceful, and perfect if you’re craving privacy or celebrating something special.

$15,018.00 Quantity

Shared RoomTwo single beds in a shared en-suite room with another retreat guest. Cozy, comfortable, and ideal for solo travelers or friends.

$9,855.00 Quantity

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Total

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Wildlife & Yoga Retreat Booking Form: October 2025

Emergency Contact

Health & Wellness

Yoga Experience

Safari Experience

Retreat Expectations

Book Your Room