Rejuvenation Retreat Application
Kerala, India | May 1–8, 2027
Applicant Details
Name
*
Email
*
example@example.com
Why do you wish to attend this Ayurveda rejuvenation retreat?
*
Which areas of your life and wellbeing would benefit most from participating?
*
Do you currently have any daily wellness, spiritual, meditation, or movement practices? If yes, please describe.
*
What are you ready to receive or renew in your life experience?
*
Do you exercise regularly? If yes, how often and what types? This retreat will offer daily movement activities.
*
Additional comments or questions
Room Selection
All prices are per person.
Please select your room and occupancy preference
*
Penthouse — Single occupancy — $4,400 per person
Penthouse — Shared room — $3,400 per person
Please select your room and occupancy preference
*
Premium Ocean View — Single occupancy — $3,600 per person
Premium Ocean View — Shared room — $3,000 per person
Please select your room and occupancy preference
*
Superior Ocean View — single occupancy $3,350
Superior Ocean View — shared room $2,850
Please select your room and occupancy preference
*
Beach View Deluxe — single occupancy $3,100
Beach View Deluxe — shared room $2,750
Please select your room and occupancy preference
*
Ocean View Deluxe — single occupancy $3,000
Ocean View Deluxe — shared room $2,650
If choosing a shared room, are you bringing a friend or loved one to share your room?
*
Yes
No
Submit Application
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