Signup Form 2023 – PS Alumni

1About You

2Health & Medical Issues

3Room Booking

4Terms and Conditions

5Summary

Number of Signups*

Choose how many you are signing up for. You will be asked to pay together at the end of this form.

Name*

First Last

Spiritual Name

Gender*

Male

Female

Date of Birth*

DD slash MM slash YYYY

Email*

Enter Email Confirm Email

Phone*

Person Two

Name Two*

First Last

Spiritual Name

Gender*

Male

Female

Date of Birth*

DD slash MM slash YYYY

Person Three

Name Three*

First Last

Gender*

Male

Female

Date of Birth*

DD slash MM slash YYYY

Person Four

Name Four*

First Last

Gender*

Male

Female

Date of Birth*

DD slash MM slash YYYY

Person Five

Name Five*

First Last

Gender*

Male

Female

Date of Birth*

DD slash MM slash YYYY

If you have any illnesses, allergies or medication you require to take, please let us know so we can help accommodate you the best we can.

Illnesses

e.g. Asthmatic (Please enter N/A if this does not apply)

Dietary Requirements

e.g. Nut allergy/Vegan (Please only enter requirements NOT preferences)

Medication required

e.g. Amoxicillin (Please enter N/A if this does not apply)

Other Information

Please include any activities or foods which should not be undertaken as a direct result of any allergies or illnesses

All prices include accommodation, 3 nourishing meals a day, thought provoking seminars and a deeply spiritual experience. There is an optional upgrade if you would like to enhance your experience.

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Who will you be paying for?*

Paying for my family

Paying for myself only

If you are only paying for yourself in a group booking, please ensure you pay with your name in the payment reference.

Number of Adults*

At least 1 adult for a family plan. Ages 13+ - £330 per head early bird price.

Number of Children*

Ages 2-12 - £150 per head

Number of Toddlers*

Ages 0 to 2 - Free

Would you like to upgrade to the luxury experience package?*

Yes Please + £100

No Thanks

This includes an upgrade to a larger room with the glorious landscape garden views.

Total

Terms & Conditions

You MUST read and accept the following terms and conditions before proceeding to the next page.

1.*

I have opened, read and accepted the following terms & conditions and cancellation policy.

Please click here to view the policy.

2.*

All participants under the age of 18 must obtain parental consent to travel on the retreat. If this applies to you, please email the completed form to alumni@psena.com

Please click here to view the form.

Summary

Almost there! Final step is to confirm your total. Please note we can only accept bank transfer.

Total to Pay

Please ensure payment in full is made by 2nd June to be eligible for the early bird discount.
Please pay via bank transfer to
Bank: Metro Bank Account name: Pandava Sena Alumni Sort-code: 23-05-80 Account number : 17702599

Please Note: Payment does not guarantee a space on the retreat.

If you have any questions please do not hesitate to contact alumni@psena.com.

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Have you paid?

Yes I have paid

No, we will pay shortly after we submit

Other

Please leave a comment if you require help

'Conscious You' Retreat 2023 Registration Form

Person Two

Person Three

Person Four

Person Five

Terms & Conditions

Summary

ERROR. Please go back to Question 1 to fill the number of signups as you are paying for more than 1 person.