IYENGAR YOGA RETREAT IN BALI, INDONESIA
WITH ASAF HACMON | JANUARY 6-13, 2016

ALL INCLUSIVE WEEK OF YOGA, SPECTACULAR NATURE AND COLORFUL CULTURE IN THE LUXURIOUS VILLA FLOW RESORT

Please use the form below to signup for one of our Yoga Food Nature retreats. If you have any questions, please contact us.
Please note: all fields are required.

Personal information

Full name

Gender
 Male Female

Date of birth

Contact information

Full address

Postcode

City

Country

Telephone number

Email address

Experience and needs

Your Yoga Experience

Styles of Yoga practiced

Physical or Health problems

Food Allergies

Travelling preferences

Are you coming alone?
 Yes No

If you are sharing a room, please name your room partner:

Do you want us to find you a room partner?
 Yes No

When do you plan to arrive to Bali (we recommend arriving few days earlier, travel a bit in the island, get used to the climate and time zone. Check in the resort is Jan 6 at 13:00)?:

When do you plan to leave the Island (the retreat ends on Jan 13, however, there are plenty of beautiful places to visit so maybe you can take few extra days before heading back)?:

Based on the accommodations available, which package do you want?

 Coconut house Villa rooms

How did you hear about our retreat?


 Google search LiveYoga website Friend recommendation Facebook Returning client Newsletter Flyer

Other

How will you pay the required Non-refundable deposit €500,-?


 By bank transfer to LiveYoga IBAN: NL29INGB0005000624. I will pay by PIN or Cash in the LiveYoga studio

*Please mind that we can only confirm your reservation and room type based on availability at the time the deposit arrives.
*** Remaining amount should be paid in full no later than 30 days prior to the retreat. In case the form is being filled in this time frame the full amount should be paid to complete the booking and not only the deposit.

Other comments

Please tick the box below to signify you understand and agree with our terms and conditions. By clicking the signup button you also declare that all the information you have provided above is correct and complete and would like to express your interest to participate in the workshop.

I agree with the terms and conditions. (required).