Name: *

First Name

Last Name

Phone number: *

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Accomodation preference: *

Please tick accomodation preference.

Single Suite (private room with ensuite -for 1 person only)

Twin Share Suite (Twin room with ensuite-requires YOU to book with your friend- room mates will not be allocated for you)

Get on and off the floor: *

You must be able to get on and off the floor independently. Of course you may use a chair to assist you. Please confirm that you are able to do so.

Yes

If you have respiratory symptoms (eg: COVID-19, Influenza A and Influenza B): *

Please confirm that you are willing to take a Combination Rapid Antigen Test (RAT-home test) on Retreat start date, before arrival and provide evidence of a negative result on checkin.

Yes

If you have respiratory symptoms in the absence of a positive combination RAT result: *

We request that you wear a mask in all indoor areas where you are socialising without eating or drinking.

Yes

If results are positive for respiratory virus: *

If you have an active respiratory virus on Retreat start date, we respectfully ask that you cancel your attendance in order not to put all other participants at risk of potential illness. Please see T&C for more details about cancellations at short notice.

Yes

Payment preference: *

Please tick your preference should a place be available. Payment of booking fee is required to ($350 AUD) secure your place- required within 48 hours of confirmation of place to secure booking. All payments are made via bank transfer.

Pay only booking fee initially - will pay remaining balance in a later single payment (due 12 Sept)

Pay in full upon confirmation (includes booking fee which secures your place)

Payment plan after booking fee paid (equal monthly instalments following the initial booking fee- final payment early October)

Consent: *

Please tick all boxes to proceed

I understand this form is an application and my place is not confirmed until a booking fee is received.

I understand the booking feee is non-refundable.

I agree to the payment method selected above and will make payments via direct bank transfer.