10 Day all Inclusive Getaway Registration Form
Our vision is to create a hassle free event where families can experience being immersed in nature while:
  • living off grid

  • experiencing community

  • expanding knowledge at workshops

  • celebrating life through music, dance & connection

To Ensure we provide an event where the whole family gets the most out of this experience. Please can you fill in this form with as much detail as possible.  

We will then send you an email with a confirmation of receipt of this form with the payment details so you can book your family a place on this event.
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Email *
Mobile Number  *
Name *
What is your preferred contact method? email or Mobile...
*
Required
Which package will you be choosing? *
Required
Which Date are you interested in? *
Required
Partners Name
Name of your child *
Date of birth of your child. *
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Name of your 2nd child
Date of birth of your 2nd child.
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DD
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YYYY
Name of your 3rd child
Date of birth of your 3rd child.
MM
/
DD
/
YYYY
Does anyone in your family have any dietary requirements? *
Please give details on the requirements
Does anyone in your family have any medical conditions we should know? *
Please give details on the conditions
What languages does your child speak? *
Required
Does you child understand English? *
Required
Does you child understand Portuguese? *
Required
Will you be using the Office Hub during your visit? *
How many days per week and what times will you be needing to use the office hub?
Would you like to book extra treatments?
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What treatments would you be interested in?
What Transport Option would you like to use to arrive to the event?
*
We recommend that you come in your own transport or you rent a car.   This will give you freedom during your evenings to visit the beautiful scenic locations that are located within a 20 minute drive from our location.  
Would you like to have a video chat to discuss the event?
*
What payment method would you prefer?*
*
Payment for the event will be requested via email once your questions have been reviewed and will be payable via bank transfer.   Your place will not be reserved until payment of one of the methods listed has been received. 
Would you like to refer another family?
*
Please fill in the full name of the family / families you are referring to join the event.   If that  family / families books to join during the summer you will be eligible for a further 5% discount for every family who books
Please give the name of the family / families you would like to refer.
Please add any additional information you think we should know.
A copy of your responses will be emailed to the address you provided.
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