Thailand Adventure

Thailand Adventure

2024
All sections must be completed. Click on each of the following section tabs to open. If you have any problems filling in the form please contact us.

1: YOUR PERSONAL DETAILS
Name (as shown on your passport)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender*

MaleFemale
Phone Number*
(Include area code if applicable)
Email*
example@example.com
Emergency Contact Name *
Emergency Contact Phone Number*

2: PASSPORT DETAILS - needed to book internal travel
Passport No:*
Country Passport Issued:*
Passport Expiry Date:*
You must have a minimum of 6 months available from our return date.

3: BIRTH DETAILS - needed for Astrology Reading
Date of Birth*

MonthDayYear
Date
Time of Birth (for Astrology Reading)
Contact the medical records section of the hospital you were born if you don't know it already)
Place of Birth:*

4: YOUR HEALTH AND DIETARY ADVICE
Q1: Do you have any relevant existing physical and mental health conditions that the retreat organiser should be aware of?*

Yes (provide details below)No (continue to Q2: Dietary requirements)
If you answered 'yes' to the above, please provide details:
If you are taking medication or receiving treatment for any of the above, please list here (specify the form of medication/treatment & if you have approval from your health care practitioner to undertake a yoga practice):
Q2: Do you have any special dietary requirements?*

Yes (please indicate below)No (continue to Section 4)
If you answered 'yes' to the above, please select all that apply:

Dairy FreeGluten FreeOther (please give details below)
If you answered 'other' to the above, please provide details here:

5: CHOOSE YOUR ACCOMMODATION
THAILAND YOGA, AYURVEDA & REIKI IMMERSION: 25/1 - 24/2/2024 (30 DAYS) Deduct deposit where relevant*

$500 - Non-refundable Deposit - full payment due 31/10/2023$4997 – EB Standard Single - Double Bed$5197- EB Superior Single - 2nd best room in the house$5697 - EB Deluxe Single - Best room in the house$125 – * Twin Share Airport Accommodation & Transfers.
Please note:
- Full payment due 31 October 2023.
- Double & twin share arrangements available on request saving between $500-$800 per person. Registrations for both people to be submitted together.
- All rooms are of a high quality with private bathroom, AC & fan, fridge, kettle and balcony/verandah.
- Superior & Deluxe rooms have slightly nicer furnishings and much larger balconies directly onto the Mekong River. There is only 1 of each available so book early to have a choice.
- *If you are departing from Newcastle ( or anywhere outside Sydney) an overnight stay close to the airport provides a more relaxed start to the trip. Our Qantas flight leaves at 10.00am.

6: PAYMENT OPTIONS
Choose from the following payment options:

By bank transfer:
Account name: Mary Westley
BSB: 637000
Account No: 721126714

Please include in the reference field the month and year of the retreat and your surname, e.g. Feb23Smith

By credit card:
Can be arranged via Paypal using the email marygirishaa@gmail.com

Please add 3% to the total to cover fees.

PLEASE NOTIFY US AFTER YOU'VE MADE YOUR PAYMENT:

Please email marygirishaa@gmail.com with the details of your payment.

7: SUBMIT
Please read carefully

Aware WellBeingTerms & Conditions

Listed rates are per person.

The nominated non-refundable deposit is per person and is required to confirm your registration.

Registrations made after the nominated full payment date will include a $250 surcharge and full payment is required at the time of booking.

Retreat participants are required to obtain comprehensive travel insurance that includes cancellations and Covid.

If you need to cancel your registration for reasons other than travel restrictions relating to your non vaccination status the following refund guidelines apply:

- Up to 30 days before the retreat commences you will receive a full refund less the non refundable deposit.

- Up to 15 days before the retreat commences you will receive a 75% refund less the non-refundable deposit.

- After 15 days there will be 50% refund less the non-refundable deposit.

- After 7 days there will be no refund.

If a retreat is cancelled by Aware WellBeing for reasons *other than outlined below, all payments received from the participant towards the retreat will be refunded in full.

The organisers will not be held responsible for any travel expenses which may be incurred in preparation for the retreat, including airline tickets, travel delays, flight cancellations or illness or changes in Govt regulations or mandates relating to travel.

*In addition to the above as the facillitator of your retreat I wish you to know upfront that I choose not to receive any Covid related injections and therefore changes in government imposed requlations or restrictions by other companies may affect my right to travel.

In that particular instance I will do everything I can to support you and myself to recover any loses.

If you are able to travel and still wish to do the components that I can faciliate from afar I will refund the balance.

If you are also unable to travel I will refund what I can and by cancelling the retreat you will be able to claim any difference on your insurance.

Aware WellBeing Disclaimer

I acknowledge that the instructions given throughout the retreat are given only as guidance and are not intended to replace medical care. I therefore accept that it is my responsibility to advise the retreat facilitators of any existing conditions including any recent injury, illness, surgery or commencement of pregnancy; in order for them to assist me to adapt the practices for my needs. I acknowledge that it is my responsibility to do the practices within my own limits to prevent injury and expressly waive any claim I may have against Mary Girishaa Westley and any other staff or volunteers representing Aware WellBeing for any injury or loss sustained by me resulting from the practice of Ayurveda or Yoga under their instruction.

It is acknowledged and agreed as a condition of participating in the services and activities including accommodation and related services, that the operators, occupiers, instructors and their employees, agents, contractors and volunteers shall not be under any liability for death or any personal injury, loss or property damage which may be sustained or incurred to any person at any of the programme venues or any adjoining or related lands. I agree to the Terms & Conditions and take full responsibility for my actions while traveling to and from the course venue and during my time at the venue. I acknowledge that I am fully responsible for myself during my stay or when participating in any activity.
Please ensure that you have entered all the required information and read the T&C and Disclaimer before submitting this form, then click the SUBMIT button below:
Please click to confirm that you accept this disclaimer:*

I have read the above and accept the terms of this disclaimer

OUR CONTACT DETAILS
If you have questions or need more information, please phone:
Coralie: 0474 226 448, or Mary: 0400 494 166.

Alternatively email us: retreats@2wisewomen.com.au

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