Registration Form - Slow Retreats

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Exclusive luxurious retreats, connecting excellent instructors with unique locations

Thank you for choosing GiliTA for your next holiday. To confirm your reservation, please fill out and sign one form per person. This information will help us with registration formalities during your holiday and in the port sector.
Each passenger is responsible for ensuring that their own documentation. Your passport needs to be valid for at least 6 months after arrival in Indonesia, and please check the Visa requirements for your country.

Thank you for your help! We look forward to having you Slow down, relax and rejuvenate with us!

Name retreat you'd like to join: *

Slow Spa & Yoga Studio

1. Passenger Information

Full Name (as in passport) *

Phone Number *

E-mail Address *

Nationality *

Date of birth *

YYYY

Female

Male

Clear selection

Passport Number *

Passport Expiry Date *

YYYY

Home Address

Specific dietary requirements (allergies, vegetarian, lactose etc)

Injuries or important health information

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