Booking form | 7 Days Serenity Eco Yoga Retreat 2020
Please fill the form below to join the next retreat!

Email address *
Your full name
Your answer
Nationality
Your answer
Which retreat date are you interested in joining?
Phone Number or Whatsapp
Your answer
Gender
What is your yoga level?
Beginner
Advanced
Do you have food sensitivities or allergies?
Room options (Early Bird/Normal Price)
How did you hear about Serenity Eco Yoga Retreat?
By completing and returning this application form you understand and accept the requirements for the retreat.
To secure your spot on the retreat, a 35% deposit is required after approval of your application which will be sent via email.

The remaining balance will be paid upon arrival at Serenity Eco Guesthouse.

All payments will be in Indonesian Rupiah (IDR). Prices are shown in USD and only as an approximation.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Serenity Eco Guest House. Report Abuse