Developing a practice booking form

Your first and last name

Your email

Your phone number (mobile)

Your address

Special dietary requirements

Current physical activities

How did you first hear about us?

Please give details (how long, how often, what style, etc.) of your yoga and meditation background

Please mention any relevant medical history (including any serious injuries in the past, whether fully healed or not)

I am coming
on my own, but I'm happy to shareon my own, and I want a single roomwith a friend (sharing a twin room)with my partner (sharing a double room)

[group sharingwith]
Friend's / partner's name

[/group]

[group single]
A €100 supplement will be applied to your balance if you require a single room
Please check with us about single room availability before booking
[/group]

I am paying:
By Bank transferOnline with PaypalTransfer from another courseGift voucher

[group transfer]
Title of the course you're transferring from

Date

[/group]
[group voucher]
Voucher number, or if unknown, date and name of the person who gave it to you


[/group]

Can we add your email to our mailing list? We send about six newsletters per year with news from the farm and special offers on our courses. You can unsubscribe at any time. We will not share your email address with anyone.
No thanksYes please

I agree with the Terms and Conditions

Book now