2020 Ziran Qigong Retreat @Udara-Bali

Australian Booking Form for travel 18 Feb - 2 Mar 2020 (Page 1 - Your Booking Details)

Your Booking Form must be filled in accurately and complete in order to submit.

All fields are mandatory and acceptance of the Terms and Conditions is required in order to submit your Booking.
The completion of this form is a requirement for acceptance of your Booking.

Booking Details

IMPORTANT: Please provide your name as it appears in your passport.

Medical/Special Requirements

Pre-existing medical conditions my impact on your participation during the tour and training. Please advise your medical practitioner of the activities you plan to undertake and if necessary, obtain a letter if you need to travel with prescription medication. It is your responsibility to ensure you have all you require to maintain your condition and to inform us so that we can be supportive before and during the tour.

Emergency Contact Details

* Please nominate an Emergency Contact other than a person you are traveling with and out of courtesy ensure that they know they have been nominated.