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Retreat Application Form
For multi-day transformational experiences at Amaravati Healing Centre
Facilitators First Name
Facilitators Last Name
Phone (WhatsApp if preferred)
Country
Email
Confirm Email
Name of Retreat / Brand
Website or Social Media
Proposed Retreat Name
Please provide details of proposed retreat
Preferred Start Date
Preferred End Date
Number of Days
Expected Number of Participants
Expected Number of Facilitators / Support Staff
Accomodation Preference (Tick all that apply)
Standard Queen Room (6 Rooms)
Standard Twin Room (14 Rooms)
Deluxe (10 Rooms)
Master Deluxe (2 Rooms)
Super Deluxe (1 Room)
Room Sharing Allowed?
Yes
No
Meals required
Breakfast
Brunch
Lunch
Dinner
Dietary Requirements (please specify for group or individuals)
Do You Have a Proposed Daily Schedule?
Yes (please upload below)
No (we can support you in creating one)
Upload Proposed Daily schedule (PDF or JPEP file format accepted)
Description of Activities / Flow of the Retreat
Which Optional Services Would You Like to Include? (Select all that apply)
Bonfire
Breathwork
Cacao Ceremony
Ice Bath
Kirtan Music Circle
Massage Therapy
Meditation
Qi Gong
Sound Journey
Steam Room
Tai Chi
TRE - Tramua & Tension Release
Voice Activation Session
Yoga (Hatha)
Yoga Vinyasa
Yoga Yin
Any Other Services You're Interested In?
Will Your Retreat Include Ceremonies or Activities That Require Privacy or Special Preparation? ( Please provide details)
Is There Anything Else We Should Know About Your Group or Vision?
Upon acceptance of your application, a 20% deposit is required to confirm your booking. Final payment is due on arrival of retreat start date.
Cancellation Policy: We understand that life can shift in unexpected ways. While all deposits are non-refundable, we do offer flexibility. If your retreat or workshop needs to be postponed, we’re happy to work with you to reschedule your booking once within a 12-month period at no additional cost. This allows us to honour your intention while respecting the planning and resources required to hold this space for you. We appreciate your understanding and commitment to working consciously with us.
I have read and agree to the cancellation policy
TERMS & CONDITIONS
Booking and Payments: A deposit is required to secure your booking. The full payment must be made in cash upon arrival at the retreat centre.
Cancellation Policy: Deposits are non-refundable. However, if you are unable to attend, we allow transfer of your deposit to a future retreat date within one year of your original booking.
Participant Conduct: Attendees are expected to respect the retreat rules and fellow participants. Disruptive behavior may result in removal from the retreat without a refund.
Liability Waiver: All participants must sign a liability waiver releasing Mindful Retreats Thailand from responsibility for personal injuries or losses that may occur during the retreat.
Privacy Policy: Personal information collected during booking is used solely for retreat organisation purposes and is not shared with third parties.
Health and Safety: Participants must disclose any relevant health issues prior to arrival. The retreat does not provide personal medical care. Changes to Retreat Schedule:
Mindful Retreats Thailand reserves the right to make changes to the retreat schedule or facilitators as necessary.
I AGREE TO THE ABOVE TERMS & CONDITIONS
Yes
No
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