Register Here

Places are limited to 12 guests, and we anticipate the retreat will fill up quickly. Please register your interest using the form below. Once received, we will send payment details to confirm your place.

We look forward to hearing from you.

Name

First Name

Last Name

Email

Date of Birth

MM

DD

YYYY

Emergency Contact

Name & Relationship

First Name

Last Name

Emergency Contact

Number

Country

(###)

###

####

Dietary Requirements

(all food will be vegetarian)

Room Preference

Private Room

Twin Room

Triple room

Is there fellow traveller or group that you would like to share with?

If so please state their name(s) below

Do you have any health conditions we should be aware of, or anything that would prevent you from taking part in planned activities?

Yes

No

If you answered yes, please list any past or current injuries, surgeries, major illnesses and any medications you are presently taking.

Do you have any other specific requirements?

Would you like to spilt the costs of minibus transfer?

Yes

No

Nature’s Song

Register Here

We look forward to hearing from you.

Verity Megan