Aleenta 2025 Bali Retreat Booking Form

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Join us for the Best Retreat Ever! Once you've completed the Booking Form, we'll reach out to process your deposit and ensure your place on this epic Retreat. Limited Spaces available.

Email *

First Name *

Last Name *

Phone *

Date of Birth *

YYYY

Postal Address *

Are you an Aleenta Health Club Member?

Yes

Clear selection

Choose Your Room

Are you wanting a shared room with a friend?

Yes

Clear selection

If YES, what's your friend's name?

Do you have any dietary requirements?

Do you have any medical issues or injuries we need to be aware of?

Emergency contact details - please provide name & telephone number *

By submitting this form, you are confirming that you have read, understood and accepted the Retreat Terms and Conditions. *

I have read, understood and accept Terms and Conditions

Required

Submit

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