Retreat booking form

Once I have received this form, I will be in contact to confirm if the room you want is available, and with further details on how to pay the deposit. Please do not make any payments until I have confirmed your place. Thank you!

Name *
Name
I'd like to receive Mel's newsletter *
Address *
Address
I'd like to pay by *
How did you hear about this event?
Emergency contact name *
Emergency contact name
I have read and agreed to the terms and conditions *
Terms and conditions can be found here - www.melskinneryoga.com/values