Please complete the form below to register for the retreat:

    Full Name (required):

    Email (required):

    Tel (required):

    ID Number (required):

    Address (required):

    Dietary Requirements

    By when do you plan to pay the 50% deposit (R3 000)

    By when will you pay the remainder R3000, and if installments please include dates with amounts.

    By completing and submitting this form you are agree to:
    No refund or cancellation
    We are not liable for theft or injury that might incur on this trip.