"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 RESTORE WELLNESS RETREAT
Friday 1st to Wednesday 6th November 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, as the enter key will send the form before it is completed

Name:

Email Address: (required)

(the system will only accept 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 type of room would you like?


Single Room with a shared bathroom between 2 guests - AUD $2,115

Standard Single Room with en suite - AUD $2,245

Click here for currency converter

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:

Anything else we should know about?

Emergency contact name:

Emergency contact number:

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





(please name the publication in box below)


Click here to receive our Radiance Newsletter with yoga practice tips & inspirations, recipes, retreat news & updates...

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

Read our Policy document on security, privacy and refunds..