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Gender:
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PLEASE TELL US...

Have you been to a Radiance Retreat before?
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If so where:

Would type of room would you like?

Twin Share Room + own bathroom - AUD $TBA (per person)
Single Room + shared bathroom (between 2 rooms) - AUD $TBA
Small Single Room + own bathroom- AUD $TBA
Single Room + own bathroom - AUD $TBA

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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:

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

Word of Mouth / Friend
Jessie's Yoga Books
Radiance Yoga DVDs
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