Colleena Shakti in Bali November 2018
Thank you for your interest in our retreat!

Please take a moment to fill in your details and answer a these questions, to help us make sure your retreat experience is beautiful and unforgettable :)

Once we have received and processed your registration details, we will email you a Paypal invoice.

Please note that Paypal charges a 5% fee, which will be added to your invoice. You may request other payment options:
- sending money through Paypal as a gift.
- transferring to a UK Bank Account - all transfer fees are yours.

***Please email us once you have completed the registration form!***

The closest Airport is DENPASAR, BALI.
check in is from 2pm.
Checkout is by 12pm.
Please contact us immediately if you require extra nights.

If you have further questions please contact us at caravanserai.retreats@gmail.com

Information will soon be available here www.caravanserai-retreats.com and www.colleenashakti.com

PLEASE NOTE - your place on the retreat is not confirmed until we have received your full payment or deposit.
Space is limited as we are in a private villa this year, so we advise you to send the completed registration form as soon as possible to ensure your place - we SOLD OUT last year!

All payments are non-refundable. However they are transferable to another participant - if you find someone to take your place.

We respect your privacy and your information will not be shared with third parties.

Thanks again! We can't wait to dance with you!

JAI MA!

CANCELLATION & REFUND POLICY
Before completing your registration we want to be sure you understand and agree to the REFUND POLICY.

• Cancellations 6 months before the event will receive 100% refund (Paypal Fees will be paid by applicant)
• Cancellations 3 months before the event will receive 50% refund (Paypal Fees will be paid by applicant)
• Any cancellations after this will receive no refund.
• All Paypal fees will be paid by applicant.

*By completing your payment, you have agreed to our refund terms and conditions.

These terms hold even in the case pf personal accident or family emergency as we will have paid our 3rd parties.

We reserve the right to make any changes to our programme in the case of teacher cancellation, low bookings, natural disasters or any other situation beyond our control. In this very unlikely case, alternative arrangements will be offered to the best of our ability but we do not accept responsibility for any costs incurred, including airfares.

Email address *
Your Legal Name *
First and Last Name (please add any other nicknames in brackets)
Your answer
Age *
Your answer
Nationality *
Your answer
Country of Residence *
Your answer
Passport information *
Name - Date of Birth - Passport Number - Country Issued - Expiry Date
Your answer
Occupation *
Your answer
Email Address *
Your answer
Website
Your answer
Your Facebook profile *
Your answer
Package you are registering for *
Accommodation rates are based on double share unless otherwise specified
Required
Group Details
If you are coming with a friend/friends and want to share a room, please write the names of all participants in your group
Your answer
How would you like to pay *
some people prefer to receive a paypal invoice, some people prefer to reduce transfer fees by sending as a "gift". PLEASE NOTE! We must receive the full amount as stated above, so any money missing due to transfer fees of any kind, is your responsibility and must be paid.
Required
What styles of dance do you practice regularly? *
Your answer
Have you ever studied with Colleena? *
Your answer
Do you have any experience in Indian Dance? If yes, please explain *
any prior workshops, classes or intensives in any style of Indian dance
Your answer
Do you, or have you ever practiced yoga?
explain
Your answer
Have you had any formal dance training?
Please list what, when
Your answer
Do you have any injuries which may prevent you from training intensively? *
if yes, please explain
Your answer
Are you taking any medication? *
If yes, please let us know in case we need to help you
Your answer
A dance retreat is NOT therapy. Please remember that you are responsible for your own physical, mental and emotional health and wellbeing. *
Required
Who should we contact in case of an emergency? *
contact name - telephone number - email - country of residence - relationship to you
Your answer
How did you hear about this retreat? *
Your answer
Please explain what attracts you to join us in this intensive study *
Your answer
Please be aware that we will be taking photos & video for future promotional material *
Required
Would you like to be picked up from the airport (at the additional cost of $30 one way)
if yes, please give your complete flight details - arrival time, flight number, airline, flying in from where (last port of call in case you were in transit)
Your answer
Are you interested in getting some professional photography shots done in the gorgeous tropical nature (at additional cost)
a professional photographer will be available and can tailor a package to suit your needs
Your answer
Do you have any other questions or concerns you would like to share with us
Your answer
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