Registration Morocco | Diana Bomeny

top of page

HOME
CLASSES
SESSIONS
- CRYSTAL HEALING
- SINGING BOWL MASSAGE
RETREATS
RESOURCES
MUSIC
CONTACT

Retreat Registration Form Morocco

Thousand and One Nights Retreat
Dates: May 10-20, 2025

First Name

Last Name

Birthday

Code

Phone

Select an Address

Enter Your Shoe Size

Emergency Contact Information

Emergency Contact Name

Emergency Contact Number

Relationship to Participant:

Health Information

Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, vegan etc…)

Do you have any physical limitations or injuries that we should be aware of?

How Did You Hear About Us?

How did you hear about this retreat?

Friend/Family Referral

Social Media

Website

Search Engine (Google

Other (Please specify)

Experience and Expectations

Have you ever participated in a retreat before?

Yes

What do you hope to gain from this retreat? (Please select all that apply)

Personal Growth

Spiritual Development

Relaxation

Adventure and Exploration

Healing and Renewal

Other (Please specify)

Are you familiar with yoga or meditation practices?

Yes, I practice regularly

Yes, but I am a beginner

No, I am new to yoga/meditation

What are your intentions or expectations for this retreat? (Feel free to add any specific goals or personal intentions):

Accommodation Preference

All accommodations are double occupancy (shared rooms). If you’re traveling with a friend or family member and would like to share a room, please provide their name:

If traveling solo, would you prefer to:

Be paired with a compatible roommate

No preference

Payment Plan

Which payment option would you prefer?

Early Bird (Valid until January 10, 2025 – Price After Deposit €2,350

Regular Price (After January 10, 2025 – Price After Deposit €2,700

Payment Plan (Up to 3 Installments). Price After Deposit: €2,850

Travel Insurance

Do you already have travel insurance?

Yes

Is there anything else you would like us to know or any special requests?

Waiver, Declaration, and Signature

Declaration

Your Signature

Select a date

I accept terms & conditions

I want to subscribe to the newsletter.

Thank you for registering! We are excited to welcome you to this transformative retreat.

Join The List!

Thanks for joining!

bottom of page

Retreat Registration Form Morocco

​