Culture & Soul Registration

Please submit a separate registration form for each guest that is attending.

Name *

First Name Last Name

Gender *

Female Male

Email *

example@example.com

Phone Number *

Area Code Phone Number

Accommodation Type *

Single Occupancy - $2500.00 Double Occupancy - $2300.00 (*Include name of guest sharing with you) Double Occupancy Suite - $2600.00 (*Include name of guest sharing with you)

Are you travelling alone or with a partner/friend *

Name of person you are travelling with

First and Last Name

Double Occupancy Rooming Options

I am sharing with my partner/friend (*Please fill in field above with travel partner info) I would like to be assigned a roommate

Room Selection *

Main House Studio ($2400.00) - Single Occupancy (1 remaining) This room accommodates 1 person. Main House Suites ($2300.00) - Double Occupancy (2 remaining) This room accommodates 2 persons. The rate is for ONE person in the room. Please let us know if you are sharing with a particular guests if not booking together. Cottage Suites ($2300.00) - Double Occupancy (3 remaining) This room accommodates 2 persons. This rate is for ONE person in the room. Please let us know if you are sharing with a particular guests if not booking together Main House Apartment w/Jaccuzzi ($2500.00) (1 remaining) This room accommodates 2 persons. This rate is for ONE person in the room. Please let us know if you are sharing with a particular guests if not booking together

Dietary Lifestyle

Allergies/Sensitivities

Share about your yoga and/or meditation practice or anything else you would like us to know

Payment Options *

Full Payment $500.00 Deposit (Balance Paid In Full by Dec. 15, 2019)

Refund Policy

A deposit of $500.00 is used to reserve a spot. This deposit is NON REFUNDABLE and NON TRANSFERRABLE.

Culture & Soul Retreat is not responsible for missed, delayed flights or issues with travel that may cause you to miss your retreat date, once paid.

I have read and understood the information contained in this registration form. I hereby affirm that I am in general good health and have not been diagnosed with any conditions that would jeopardize me or any other members of this retreat. I take full responsibility for any injuries I may sustain or damages I may incur in participating in this program. I will indemnify Dione Adams from any costs, losses or damages directly or indirectly caused by my actions during this retreat. I understand that this retreat is non-refundable.

WHAT'S NEXT...

Once your registration is submitted our travel partner Cathy Wassermann from Wassermann Retreats an affiliate of Vision Travel Inc (TICO #50023504) will contact you, assist you with processing your payment and provide personalized travel services.

We Can't Wait To See You In Barbados!

Registration Form