Kirtan Retreat Registration Form

Please complete this form to confirm your registration and share important details we need from you.

Contact Details

First name

Last name

Phone

Booking Details

Which accommodation option did you book?

How did you pay?

Room Preferences

Are you coming alone or with someone?

If sharing, who are you rooming with?

Health & Wellbeing

Do you have any medical conditions we should know about?

Do you have any physical limitations (e.g. you might need a chair) or contraindications? Or anything else that you think would be useful for us to know on a mental, emotional or spiritual level?

Yes - please specify

Dietary Requirements

All meals are GLUTEN FREE and VEGAN also with some VEGETARIAN OPTIONS lovingly prepared by the kitchen staff at Swami's! If you have any special dietary requirements or intolerances please let us know.

Yes - please specify

Retreat Experience

Previous kirtan and yoga experience?

Do you play any musical instruments? If so, what instrument(s) and level of experience?

Emergency Contact

Emergency Contact Name

Relationship to you

Emergency Contact Phone Number

Agreements

I confirm I am physically and emotionally able to attend this retreat.

I take responsibility for my own wellbeing throughout the retreat.

I agree to the retreat terms & conditions and cancellation policy.

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