Booking From January 25- 31, 2026 GBP

Full Name*

First NameLast Name

Birth Date*

MonthDayYear

Upload Passport*

E-mail*

example@example.com

Contact Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

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

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.

YesNoOther

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!

YesNoOther

What aspects of the safari are you most excited about?

e.g., wildlife viewing, horse riding, photography, cultural experiences.

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?

Choose Your Room Type and How You’d Like to Pay*

Deposit Shared Room

Reserve your space in a shared room today by paying your deposit. The remaining £6,070.40 will be due 60 days before the retreat begins ( November 26, 2025). We’ll contact you by email with a final payment reminder and link. Note: Your deposit is non-refundable but can be transferred to a future retreat if needed.

£2,601.60 Quantity

Deposit Private Room

Reserve your space in a shared room today by paying your deposit. The remaining £9,250.64 will be due 60 days before the retreat begins ( November 26, 2025). We’ll contact you by email with a final payment reminder and link. Note: Your deposit is non-refundable but can be transferred to a future retreat if needed.

£3,965.46 Quantity

Private Room

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

£13,215.20 Quantity

Shared Room

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

£8,672.00 Quantity

Payment Plan Shared Room

Secure your shared room with our flexible payment option. We'll contact you once you submit this form with a link to set up a direct debit. Your payments will be split over manageable installments with no additional fees.

£ Free Quantity

Payment Plan Private Room

Secure your Private room with our flexible payment option. We'll contact you once you submit this form with a link to set up a direct debit. Your payments will be split over manageable installments with no additional fees.

£ Free Quantity

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Total

£0.00

In Rhythm with the Wild January 2026 Retreat Booking Form

Emergency Contact

Health & Wellness

Yoga Experience

Safari Experience

Retreat Expectations

Book Your Room