"Radiance comes from
within, manifesting as
shining skin, hair and
eyes. Radiance Retreats
are a complete renewal
of body, mind and spirit"

radiance - n. 1.
the quality or state of
being radiant
radiant - adj. 1.
characterized by health,
intense joy,
adj. 2.
sending out rays of light;
bright; shining
retreat - vb. 8.
a place to which one may
retire for refuge, quiet, etc...


REGISTRATION FORM

RADIANCE BYRON BAY YOGA CLEANSE WALK RESTORE RETREAT
Friday 5th - Wednesday 10th April, 2019

Once this form is submitted you'll have the option to pay the $300 deposit online, which confirms your booking, or wait to receive our email with more retreat information and other payment methods.

*use the mouse or tab key to move to the next item (using the enter key sends the form before it's completed).

Your Name - or name/s of the person/s you're booking for:

Email Address: (required)

(the system only accepts one email address)

Address or area where you live:

Phone (Mobile):

Additional Home or Work Contact Number (if applicable):

Date of Birth:

Gender:

Occupation (optional):

PLEASE TELL US...

Have you been to a Radiance Retreat before?
Yes

If so where:

Would room type would you like for this retreat?


Single Room + shared bathroom (between 2 rooms) - AUD $2,115

Single Room + own bathroom - AUD $2,245

*If booking Twin Share we put you with a same gender person

Please share your reasons for joining the retreat and what you're hoping to get out of this time on retreat:

Please let us know here if you're new to yoga; a casual or long term practitioner or a yoga teacher; how long you’ve been practicing and what style/s of yoga (if known):

Please let us know if you have any injuries; illnesses, medical conditions, allergies or anything else you think we should know about to ensure you're well cared for:

Detail here any special dietary requests you have; foods you're allergic to or any other food related requests:

Is there anything else we should know about?

Emergency contact name:

Emergency contact number:

Where did you find out about us? Please tick below or fill in the 'other' section:





(name the publication below, if known)


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If you experience any difficulties, or do not receive a reply, email info@radianceretreats.com

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