Nepal Registration

The Wealthy Spirit Retreat

Club Himalaya, Nagarkot, Nepal

Retreat Dates:  Arrive Sunday 24th September, and be met at the airport in time to journey to Nagarkot for your meet and greet with your Retreat Leader and all of the other participants at 6.00pm followed by dinner at 6:30pm.

It takes approximately 1.5 hrs to go to Nagarkot, so allow this amount of time in your calculations, as well as allowing time to get through customs and baggage - maybe a half hour to an hour.  This is a total of 2.5 hrs.

Your Wealthy Spirit Retreat concludes on Saturday 18th September, after lunch and yes, we will be doing things right up until the last minute, so plan to stay until the very last drop of pleasure has been extracted.

Then of course, you need to allow time to get back to the airport as well.

Please complete the registration form below, to register your interest in reserving your place on The Wealthy Spirit Retreat.

You must complete a separate form for each person requiring registration.

If you know your flight information, please supply it now. If you do not know these details as yet, then put estimates in, and send us the information as soon as you have confirmation of flights.

Your information will be provided to the retreat venue so that your pick up from the airport, accommodation, tours and drop off to the airport can be arranged smoothly and easily.

We hate spam as much as you do, and your email will never be sold, or provided to anyone else without your consent, aside from providers of accommodation and transport or tours.

Please read the Consumer Disclosure Policy outlining "Risks, Cancellations, Insurance".

Click here to read it now

Make sure you read and check yes at Q. 37 below, to signify that you have read, understood and accept this policy. Please do not submit this form until you have read this policy.

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Title: *

Ms
Mrs
Mr
Dr
Professor

Home Address including Suburb or City, Zip or Postal Code, State and Country: *

Postal Address if different from Home Address:

Home Phone including country code: *

Cell or Mobile Phone including country code: *

Bed Requirement: *

Single Occupancy
Twin Share 1 bed
Twin Share 2 beds

Please note: Each participant must complete a separate registration form.

If you selected Twin Share what is your room mate's name:

Arrival Flight Date: *

Arrival/Departure Flight Details to/from nearest major city for example, Kathmandu

City: *

Airline: *

Flight #: *

Estimated Time of Arrival: *

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Departure Flight Date: *

Estimated Time of Departure: *

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Will you stay at the retreat location prior to the retreat: *

Yes
No

If yes, date of arrival at Club Himalaya, Nagarkot, or Hotel Ambassador, Kathmandu. Please advise in the last message box, your intentions:

If you will stay elsewhere, where will you stay:

Telephone number of your accommodation prior to the retreat, if applicable:

Will you stay at the retreat location after the retreat concludes 24/09/2011: *

Yes
No

If yes, what is your departure date from Club Himalaya:

If no will you go directly to the airport on 24th September 2011: *

Yes
No

Have you travelled to the retreat location before: *

Yes
No

Have you attended a Wealthy Spirit Retreat before: *

Yes
No

Your birthday: *

Yoga Experience: *

None
Beginner
Intermediate
Advanced
Yoga Instructor

Consistency of Yoga practise: *

None
Daily
Every few days
Weekly
Fortnightly
Every once in a while

Style of Yoga practised:

Meditation Experience: *

None
Beginner
Intermediate
Advanced
Instructor

Style of Meditation practised:

Consistency of Meditation practise: *

None
Daily
Every few days
Weekly
Fortnightly
Every once in a while

Have you practised meditation in the past: *

Yes
No

Meal Preferences: *

I am a vegetarian
I am a pescetarian so I am a vegetarian but eat fish
I am a vegan so I don't eat meat, eggs or dairy products
I am gluten intolerant
I am dairy intolerant
I eat just about anything

Please explain if you have any physical disorder that we should be aware of:

Are you interested in optional extras:

I may be interested in a private session with Narelle Stratford
I may be interested in rock climbing or abseiling
I may be interested in a private Yoga class

How did you hear about or find The Wealthy Spirit Retreat site?: *

Client
Friend
Link from another site
Web search
Social Media

Please be specific about how you found us, thank you: *

37. I understand that submission of this form indicates my acceptance of the Client Disclosure Policy: *

Yes
No

I understand that I am responsible for my own travel insurance and that it is my choice to take this out: *

Yes
No

I prefer to pay: *

in full and invoice me now so I save money
with a payment plan so set this up please

Please provide any other information paricularly if you are arriving early or leaving later than the retreat dates, or if you have any special requests:

This is to prevent spambots from automatically completing a form. *