Tara Rokpa Centre Booking Form
TRC is a retreat centre in the Groot Marico District, North West Province in South Africa: https://goo.gl/6cd06e

Please complete the online booking form if you would like to attend a retreat or event at the Centre.
You will need to fill in one form per retreat, and one per person so that the information is correctly recorded.
Information about payment is in the final section of the form.

For additional retreat information, payment options etc, please follow this link: http://tararokpacentre.co.za/retreat-information/

Name of Retreat *
First Name *
Your answer
Surname *
Your answer
Email address *
Your answer
Gender *
Age
Cellphone number *
Your answer
Physical Address *
Your answer
Emergency contact person (name and phone number) *
Your answer
Room Preference *
Required
If you are sharing, please state whether you would like a twin or double room, and who you would like to share with?
Your answer
Any medical conditions or dietary requirements?
Your answer
Car Pooling
How did you hear about this retreat? (Tick several if relevant)
Other information (e.g. arrival/departure dates for retreats with various options)
Your answer
Indemnity Form
I, the undersigned, do hereby agree and undertake to indemnify and hold Tara Rokpa Centre harmless against any and all liability, loss, damage, costs or expenses of whatsoever nature and howsoever arising, which I may hereafter incur, suffer or be required to pay by reason of any loss or injury which I may suffer or sustain, including injury resulting in my death in connection with my attendance at any event at Tara Rokpa Centre, or at any time whether on retreat there or not, and whether on the Tara Rokpa Centre property or adjacent farm properties.

This indemnity shall be binding upon my heirs, executors and administrators, and shall inure to benefit Rokpa Trust, its members and successors.

This indemnity shall be construed and determined according to the laws of the Republic of South Africa, the Courts of which will have exclusive jurisdiction in determining any claims or disputes arising hereunder.

I agree to all the legal stuff *
Required
Deposit Payment
Please note that your accommodation choice will only be confirmed once the deposit is paid.
I have paid the 50% deposit *
If no, I will pay it on
MM
/
DD
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YYYY
Bank Details
Tara Rokpa Centre
FNB, Branch 252155
Bedford Gardens JHB
Account No: 62111707157
Swift Code: FIRNZAJJ or FIRNZAJJXXX
Online Payments
For visitors from outside South Africa, debit or credit cards can be used to make payments via Payfast.
https://www.payfast.co.za/donate/go/tararokpacentre
TRC is charged to use this service, so we would prefer EFT payments from visitors living in South Africa.
Discounts and Volunteer Trades
TRC members receive a 10% discount on retreats. To become a member, click here: http://www.tararokpacentre.co.za/membership. You need to be a member for 6 months before discounts apply (or you can pay 6 months in advance).

For family-friendly retreats, children under 10 years are half price, and under 3 years are free.

Please do not let your inability to pay prevent you from attending. Contact tararokpacentre@gmail.com for volunteer trades and additional discounts.

I am a TRC member
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