Book a Retreat

Please fill in the following details for booking:

Full Name
Date of Birth
Gender	-- Select -- Female Male Others
Occupation
City of Residence
State of Residence
Country	-- Select -- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island And Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre And Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia And Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia And The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province Of China Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe
Contact number
Email Address
Experience level in Yoga	-- Select -- Beginner Intermediate Advanced
Lifestyle	-- Select -- Active Mildly Active Sedentary
Any long term medical condition	-- Select -- Yes No
If yes please elaborate
Any surgeries	-- Select -- Yes No
If yes please elaborate
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Number
Emergency Contact Country
Accommodation Type	-- Select -- Single occupancy Double occupancy
In case you're accompanied by someone please fill in their details below (**Note: Individual registration for each participant is mandatory.)
Full Name
Contact
Email address
Payment Details
Amount Paid
Payment Mode	-- Select -- Bank Transfer Google Pay Paytm
Date of Payment
Payment Transaction/ Reference Number
Where did you hear about us	-- Select -- Article/ Blog Social Media Word of Mouth Online Google Yoga specific website Eka Website Magazine Travel Agent Attended a previous event / class

Payment Details

Bank account details:

Account Name: Shibani Sahni
Bank Name: Citibank
Branch: Lucknow
Account Number: #5012480368
Account Type: Savings
IFSC Code: CITI0000016
SWIFT Code: CITIINBX

You can also make the payment through and on +91-9871384075

Cancellation Policy

- Till 29 days before Check in Date (March 21st 2020) - 100 % Refund (No cancellation charges towards Room Package)
- 28-20 Days before Check in Date (March 21st 2020) - 75% Refund (25% cancellation charges towards Room Package)
- 19-8 Days before Check in Date (March 21st 2020) - 50% Refund (50% cancellation charges towards Room Package)
- 7 Days before Check in Date (March 21st 2020) - No Refund (100% cancellation charges towards Room Package)