RETREAT ENQUIRY

Complete the form below and we’ll send through the itinerary,
availability and booking information within 24–48 hours.

There’s no commitment at this stage — just a chance to explore
the details before deciding to secure your place.

YOUR DETAILS.

First name:

E-mail address:

WhatsApp Number:

RETREAT SELECTION.

Retreat

Date of birth

Gender

*This helps us arrange shared accommodation. If you have specific needs or preferences, you can let us know later or message us directly.

YOUR BACKGROUND.

So we can meet you where you’re at.

Fitness / Activity Level

Relevant experience

Any relevant experience for this retreat? Share anything you’d like us to know about your experience, training or preparation.

HEALTH & SAFETY

Confidential and used only to support you during the retreat.

Injuries / medical conditions

If none, please write N/A.

Emergency contact name

Emergency contact phone number

WHERE YOU’LL STAY

Accommodation Preference

Dietary requirements / allergies

GETTING TO LOMBOK

Where will you be travelling from?

Do you plan to arrive on the recommended arrival day?

NEXT STEPS & PAYMENT

If your place is confirmed, when can you pay the deposit to secure it?

Preferred payment method

Please note: A 25% deposit is required to secure your spot. Payments are accepted via Wise in IDR, EUR or AUD. Payment instructions will be shared once your place is confirmed.

BEFORE WE LOCK IT IN

Final confirmations

I Am Requesting A Place On This Retreat

I Understand Places Are Limited And Reviewed

I Understand That My Place Is Held Once Confirmed, And Secured Once The Deposit Is Received