Retreat Registration Form

* Required
First Name**
Last Name*
Email Address*
Mobile Number*
Postal Address**
Street Address Address Line 2 Suburb State Post Code
Date of Birth*
Date Format: DD slash MM slash YYYY
Are You A Student Of One Hot Yoga?*
Choose Your Room*
Please select your room type
If you are booking a Shared Room with a friend, please write their name below. If not, we will do our best to match you with someone.
Do You Have Any Dietary Requirements?*
If yes, please specify below (Vegetarian, Vegan, GF, DF, allergies, other)
Emergency Contact Details (name & number)*
What are you most excited to achieve on your One Hot Holiday?!
Please let us know if you have any questions or concerns. We can't wait to retreat with you!
Terms & Conditions
Please View Our Terms & Condition Here.
By submitting this form, you are confirming that you have read, understand and accept the Terms and Conditions.

Complete the registration form and we will contact you to make your $500 non-refundable retreat deposit via bank transfer 0409 103 674.
Comments
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Complete the registration form and we will contact you to make your $500 non-refundable retreat deposit via bank transfer 0409 103 674.