Sati yoga May booking form

First name *

Family name *

Your email *

Phone (mobile) *

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.Yes pleaseNo thanks

Your address

Date of birth

Sex *

FemaleMale

Have you requested a single room?

If you require a single room, contact us before you book. Single room supplement is 20 euros / night.No (I'm fine sharing)If availableYes, I don't want to share

Current physical activities

Special dietary requirements

How did you first hear about us?

How will you be travelling to Clare Island?

DrivingPublic transport

Would you be willing to give a lift to another course participant?

YesNoMaybe

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'd like to avail of the following discount)s)

See the discounts section in the courses menu for more information. No more than 2 discounts. Balance will be adjusted accordingly.Returnee (I have stayed at the farm less than a year ago)Bring a friend (I've been here before and will bring a friend with me this time)Early bird (the course starts in more than 3 month)Karma yoga (I will help with cleaning for a few hours every day)

*

I agree with the Terms and Conditions

I am paying:

Online with PaypalBy bank transferGift voucherTransfer from another course

Specify date and course title

conscious living and learning on an island farm

Please complete the following booking form