(If more than one person is registering you need to fill in separate forms and send please)

Name (required)

Email Address (required)

Date of Birth (required)

Age (required)

Postal Address

Your reasons to register for the retreat:

Meals, our meals are healthy and nutritious (no red meats). If you have special dietary requirements you may need to supply your own meals, kitchen facilities available.
—Please choose an option—SharedSingleDouble

Accommodation: Shared bathroom Facilities
—Please choose an option—ChickenFish

Transport required?
—Please choose an option—Albury StationOther

If Other Transport required:

Payment options
—Please choose an option—Direct DepositEFTPayment plan