REGISTRATION FORM: Shala Retreats: Yoga Journeys - Ubud Jungle Edition 2024 

Thank you for your interest in joining us on Retreat at Amori Villas, Ubud from 27 July to 2 August, 2024. 

Please answer all relevant questions in this form. Once your registration form has been reviewed, we will be in touch with details on how to pay your $550 non refundable deposit to secure your spot!
 
Sign in to Google to save your progress. Learn more
Email *
What is your full name *
What is your mobile number? *

Which Retreat Accommodation package is your FIRST PREFERENCE?

*

Which Retreat Accommodation package is your SECOND PREFERENCE?

*

Which Retreat Accommodation package is your THIRD PREFERENCE?

*
If you are sharing, who are you sharing with? Please give their full name
Are you a Solo Traveller, looking to share a room with a fellow Solo Traveller? (i.e. don't have a travel companion but happy to share with a like-minded yogi) Please let us know and we will do the best to accommodate you *
Are you interested in an extra night's stay on Friday 26th July? Subject to availability *
Are you interested in a Payment plan to finalise your balance? *
Is there anything else you want to tell us?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy