Clone of NEXT JOURNEY ~ DIRECT DEPOSIT

NEXT JOURNEY

THIS PAYMENT GATEWAY IS FOR DIRECT DEPOSIT BANK PAYMENT OF THE FULL AMOUNT OF $1575
First and Last NAME
Mobile phone number
E-mail
example@example.com
At times the nature of this event (self enquiring into your past) means that it is not a safe-enough space for everyone. If you have trouble caring for yourself in groups or setting and sticking to your own boundaries regarding participation (what you will and won't do), or you experience distressing dissociation, psychosis, or extreme mood states, then this event is not suitable for you at this time. Please tick the box below to confirm you understand the nature of this event and have considered it's suitability in terms of your own safety and well being.
Since you attended the 'Wild Women's Bush Camp' has anything changed in your life that you'd like to tell us about that can help us support you?
Emergency contact persons (2 if possible) FULL NAME
Emergency contact persons RELATIONSHIP TO YOU
Emergency contact persons PHONE NUMBER
Dietary requirements
Please list any food allergies (not preferences)
Do you have any medical allergies? Please list
Are you on any medications? Please list
Are you ok to craft with animal products ie wool, beeswax and leather?
TERMS AND CONDITIONS OF BOOKING. *The customer is required to pay a non-refundable, non-transferable deposit of $575 for each adult named in the reservation. By making payment of this deposit or full payment, you (the customer) are accepting The Re Wilding Experience ‘NEXT JOURNEY’ Terms and Conditions. On signing up with EZYPAY payment plan the customer agrees to make 10 x $100 payments after paying the deposit of $575 *In the event of cancellation by you, the customer, regardless of the circumstances, the following refund fees apply:~Cancellation 2 weeks or less before due arrival date, 0% refund~Cancellation between 2 to 4 weeks before due arrival date, 25% refund not including the deposit~Cancellation between 4 to 6 weeks before due arrival date, 50% refund not including the deposit~Cancellation between 6 to 8 weeks before due arrival date, 75% refund not including the deposit~Cancellation more than 8 weeks before due arrival date, 100% refund not including the deposit~We reserve the right to change or cancel scheduled retreats and shall inform you as soon as possible. You (the customer) may transfer your full payment to another retreat/camp date within a 12 month period, pending availability or receive a full refund. We do not accept responsibility for any costs incurred, including travel bookings, accommodation or airfares. We reserve the right to change the Retreat/Camp location due to unforeseen issues. If any essential information changes, you (the customer) will be informed as soon as possible.
I understand that my deposit of $575 is Non refundable and Non transferrable
I have read and agree to the 'ReWilding Experience' Cancellation Policy
I give consent for this information to be collected by the ReWilding Experience
Thank you for filling in the booking form. After you Submit below, you will receive our Bank details. Please make your payment immediately.

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NEXT JOURNEY

Thank you for filling in the booking form. After you Submit below, you will receive our Bank details. Please make your payment immediately.