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Registration Form

Please fill in the registration form to sign up for a retreat and forward to us by clicking the SEND button at the bottom.

First Name
Last Name
Birthdate (DD/MM/YY)
Email Address
 
Retreat Dates
Package Choice
Are you traveling with a friend? If so, please list their name.
 
Mailing address (incl postal code and country)
 
Home Phone
Cell Phone
Your Occupation
Emergency Contact Name and Phone number
 
Please tick the appropriate boxes and fill in information, where applicable...
I am new to surfing (or stand up paddle surfing)
I have tried surfing (or stand up paddle surfing) a few times already
I am an experienced surfer (or stand up paddle surfer)
 
If you have surfed before, Please fill in the following
 
How long have you been surfing
How many times a year do you surf?
What size waves and board do you prefer to ride...
 
Please describe your yoga experience (if any)...
 
Do you have any dietary requirements (eg. vegetarian, don't eat wheat), medical conditions, allergies or anything else we need to be aware of? If so please list…
 
What would you most like to get out of the retreat ?
 
T-Shirt Size:
 
How did you hear about us? (Please be specific e.g. Google, guide book, magazine, friend's name etc.)
 
I would like receive email updates about Surf Goddess Retreats offerings and specials!
Yes     No
 
Our Reservation Process...
 

After you have sent in your completed registration form, and we have confirmed availability on your desired dates, we will send you a tentative reservation confirmation via email that is valid for 3 days.

Reservations require full payment of retreat package within 3 days of the time the reservation is made or tentative booking is automatically released.

 
Our Payment Policy...
 
To secure your reservation, full payment is required within 3 days of receiving your tentative booking confirmation from us. Payment details will be provided once we have received your registration form and retreat availability has been confirmed. You may pay by Visa, MasterCard and bank transfer.
 

 

  


 
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