Reserve Your Spot on Intensive Awakening Retreat in India

We're looking forward to hosting you in India on an Intensive Awakening Retreat with Bill Free. To complete your booking and have us hold your spot, please fill out the questions below so we can make sure to accommodate you on the trip.

Please FILL IN THE DETAILS below

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Goals?

Let us know any goals or interests you have for the retreat (for example, do you want to learn anything in particular?).

Name of Person to Notify in case of Emergency

Phone # of Person to Notify in case of emergency

Country

(###)

###

####

Are you over 18?

Summarize Your Previous Travel Experience

Do you have any allergies or dietary restrictions that you want us to keep in mind?

Do you have any pre-existing medical conditions that you want us to know about in order to make your trip more comfortable?

Do you have any anxiety, depression or other mental health concerns that you want us to know about and would make your trip more comfortable?

Have you ever been convicted of a felony or crime?

Anything else you want us to know about you in order to provide a more personal travel experience?

Have you attended retreats in the past?

Do you agree that the content or teachings in the retreat are not a replacement for traditional therapy and/or professional medical guidance?

Payment

Upon receipt of this registration form, we will reach out to you regarding payment and confirming your spot on the trip.

Due upon registration no later than December 31st: $400 deposit
Final Balance is due: January 15th 2024

Confirmation on the trip will only be valid once you have put down your initial $400 deposit. If you have questions on the payment schedule or would like to change it, please get in touch with Prachi Jain at prachi@fairkonnect.com.