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Inner Guru Retreat - Interest & Booking Form
Section 1: Contact Details
What is your full name?
*
What is your email address?
*
What is your phone number?
*
What is your address? (Country and Location is fine)
*
How did you hear about this retreat?
*
Section 2: About You
What is your main reason for joining us on this retreat?
*
Do you have any medical issues we need to be aware of?
*
A
Yes
B
No
If yes, please provide details for context:
Are you currently taking any medication?
*
A
Yes
B
No
If yes, please provide details:
*
Do you have any mobility issues?
*
A
Yes
B
No
If yes, please provide details:
*
Do you have any special dietary needs, allergies or other needs we need to be aware of?
*
Section 3: Accommodation Choice
Which room would you like?
*
A
Superior Bungalow - £1,995 (Single occupancy. Private bungalow with balcony, air conditioning, hot shower, fridge, and tea-making facilities. Queen bed.)
B
Superior Poolside Bungalow - £2,095 (Single occupancy. Everything in the Superior Bungalow with direct pool access and upgraded deck space. Limited availability.)
C
Deluxe Bungalow - £2,195 (Single occupancy. The most spacious option with premium finish and upgraded bathroom. Limited availability.)
Section 4: Booking Details
What payment option would you prefer?
*
A
Full payment
B
Deposit (£500)
C
Payment plan (tick to enquire)
Emergency Contact Name:
*
Emergency Contact Number:
*
Passport Nationality:
*
Section 5: Agreements
I understand the retreat includes a 5-day juice cleanse and I am in good health to participate.
*
A
Yes
B
No
I understand international flights and travel insurance are not included.
*
A
Yes
B
No
I consent to photography and video being used for retreat documentation.
*
A
Yes
B
No
I have read, understand and agree with the terms and conditions
*
https://www.creativemuscle.co.uk/innergururetreat-terms-and-conditions
Yes
Submit
