Maya Gandaia: Thailand Reatreat application form
Welcome the new year in with a very special restorative experience in a Luxury Homestay with the Path For series, Yoga, meditation and exploring the beautiful Chiang Mai in Thailand
Name (How do you like to be addressed?) *
Your answer
Name as it appears on Passport *
Your answer
Email *
Your answer
Phone number *
Your answer
Which retreat are you interested in?
Why would you like to come on the retreat? *
Your answer
What prior experiences have you had that might have prepared you for this experience? (Please state any relevant experience or interest) *
Your answer
Are you happy to share a room? *
Do you have any conditions which we should know about? Please list below: (Examples of these could be:Breathing/Hearing/Chronic Health Conditions that might mean we alter things to accommodate your condition)?
Your answer
Declaration: I am fit to participate in physical exercise and will inform you if the situation changes *
Do you have any special requirements?
Your answer
Is there anything else we should know?
Your answer
Which payment plan would you like to go for? *
I understand I am responsible for buying my own flight *
Required
I understand that anything outside of the provided list will be my own responsibility (including insurance) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service