Oxfordshire Retreat Booking Form

Registration/Booking: Moving Into stillness – Daoist Flow Ltd.

Thank you for your interested in joining me for my retreat in Oxfordshire. I look forward to having you.

Your room will be confirmed once we receive your registration below, along with a deposit or payment in full.

* Indicates required field

Name *

First

Last

Email *

Home Phone and/or Mobile Phone *

Mailing Address - House Number and Street Name *

City, Town and Country *

Post Code *

Emergency Contact including name, phone number and email address *

Dietary requirements or medical conditions/injuries *

Please describe your yoga, qigong and meditation experience. Have you ever attended a silent retreat? *

Do you have any history of depression, anxiety or other psychological conditions? If so please describe and list any medications you are currently taking *

Comments or questions *

Room choice - choose one *

Single room – £835 FULLY BOOKED, WAITLIST Twin bed shared room – £700 - ONE SPACE AVAILABLE FOR A MALE GUEST Triple twin bed shared room – £565 – FULLY BOOKED, WAITLIST

BOOKINGS:
A non-refundable deposit of £200 is required with this booking form to secure your place. Full payment is due by October 1, 2020. If booking within six weeks of start date payment in full will be required upon booking.
PAYMENTS:
Payment can be made by check or bank transfer. ROOMS AVAILABLE ON FIRST COME BASIS. PLEASE INDICATE PREFERENCE FOR ROOM, AND WE WILL DO OUR BEST TO MEET YOUR REQUEST.

Bank transfer, cheque and Paypal are accepted (if paying by Paypal there will be an additional £10 processing fee).
Paypal payments can be made to mimikuodeemer@gmail.com.
Bank details or information on sending a cheque for paying your deposit and balance will be provided to you upon registration.
CANCELLATIONS:
Please let me know as soon as possible if something comes up and you cannot attend the retreat. I always endeavour to treat cancellations fairly and sympathetically, but as spaces are limited the following applies: The full amount you've paid minus the deposit (£200) will be refunded if you cancel 90 days BEFORE the start of the retreat. If you cancel WITHIN 90 days of the retreat, no refund will be issued unless we find a replacement for the vacancy created by your cancellation. If we do find a replacement, we will refunded everything you've paid minus the deposit to you within 15 days.
LIABILITY:
We do NOT accept any liability for:
• Cancellations, delays or changes caused by war, threat of war, terrorist actions or threats, closure of airports, civil strife, industrial action, natural disaster, technical problems to transport, staff cancellations, weather or other events beyond our control.
• Participants' medical or psychiatric conditions which may develop during or subsequent to the holiday.
• Loss of, or damage to, personal property of participants.

If you have had any major physical or emotional illness within the past 5 years, or are under medical or psychiatric supervision, you must notify us of the details at the time of booking and, where appropriate, enclose a doctor's certificate of fitness to travel. Non-disclosure of relevant information can invalidate your insurance and cancel our contractual obligation to you.

Important! Please check this box to agree to the terms above: *

I agree to the terms above.

Submit

Please note: you will be taken to a page where you can pay the deposit online. Alternatively, submit the form and ignore the next page to pay by bank transfer; I will send you bank details upon registration. Thank you!