Mother-Daughter Retreat Booking Form

We’re so excited to have you joining us for the Mother-Daughter Retreat!

Please fill in the below booking form and click on ‘Pay Now’ to pay your deposit of $500.  

Once we’ve received your booking form and payment, we’ll send you through a confirmation email with all the details.  We require a minimum number of bookings for the retreat to go ahead so we ask that you wait until mid-March before booking additional travel arrangements.  We’ll be in touch as soon as we can confirm whether it’s going ahead.  At that time you will be invoiced for the remaining balance or, if it’s not going ahead, will be provided with a full refund.  If you have any troubles with the booking process, please don’t hesitate to email or phone 0430 035 740.   

  • Please include the best email address to receive important information about the workshop.
  • Please let us know if you have any particular dietary requirements or any medical issues that we need to be aware of for physical activities that you may participate in (such as yoga, walking or Stand Up Paddle Boarding).
    As the parent/guardian, I hereby release, discharge and/or otherwise indemnify and hold harmless Shine From Within, its affiliated organisations and sponsors, volunteers, their contractors and associated personnel, including the owners of venues and facilities utilised for this retreat, from all liability for any loss, damage, cost or expense (whether in negligence, contract, under statute or otherwise) suffered by myself or my daughter as a consequence of our participation in this retreat, including in the unlikely event of death or personal injury.
    Photographs and/or video and/or audio recordings and/or interviews may be created during the retreat and may feature the parents and students. These may be used for a range of purposes - to provide you with some beautiful photos and also for marketing purposes. This may include, but is not limited to, demonstrating the course and the fun you are having in magazines, brochures, newspaper articles, videos, websites and other electronic media by Shine From Within and associates. By ticking the box above, you are granting permission for yourself and your child to be photographed/videoed/interviewed on behalf of Shine From Within and give permission for the intended uses as stated above. You also agree to release Shine From Within from any and all liability associated with the use by Shine From Within, or a third party, of the photographs/audio/video/interview as set out by this agreement. (Please note that we will happily take down an image of you/your child if you request this of us).
    Shine From Within reserves the right to cancel or change the course/event in any way at any time. In this instance, we will endeavour to provide you with as much notice as possible. In the event of the retreat being cancelled by Shine From Within, a refund will be issued. Please note that refunds are not issued if your circumstances change and you cannot make the event.