TRAVEL FORM - Goddess Retreat North Bali 1st - 7th November 2025

What a gift for yourself! Rachel, Ally, Ruth and Jazmine are excited to welcome you onto this wonderful immersion experience at one of our favorite locations in the world! It is truly a paradise on the coast of North Bali. Please indicate if you are travelling with a friend, or if you are looking for a single room or a roommate. Once you fill out this form and make your initial payment we will be in touch. We will support you with your travel arrangements, travel with us feels easeful and fully supported with sincere gratitude.

Retreat Terms and Conditions 

Terms and conditions

We acknowledge that people do not plan on canceling their retreats but unforeseen circumstances sometimes arise. Unfortunately, we cannot offer any exceptions or discounts for any reason. On making payment you are agreeing to the terms and conditions, thank you for understanding. 

All deposits and payments are non-refundable with out exception. 

We recommend that you search for travel insurance that matches your risk tolerance. If necessary, you can consider finding a replacement travel companion.

By transferring your deposit or paying for the trip in full, you indicate your agreement to these terms.

Dates

Early Bird - Save $300 off the full price

Closes 1st June

Private: $3699

Twin: $3199

Deposit $1000

Early bird ends: 1st June 2025

Balance due 1st August 2025

Full Price

Paid in full by 1st August 2025

Private: $3999

Twin: $3499

Deposit: $1000

Balance due by 1st of August 2025

Payment Plan SINGLE Room

*Must be purchased before 1st March 2025

Paid in full by 1st August 2025

Deposit: $1000

5 x Monthly Payments of $620

*Includes Admin fee

Payment Plan TWIN Room

*Must be purchased before 1st March 2025

Paid in full by 1st August 2025

Deposit: $1000

5 x Monthly Payments of $520

*Includes Admin fee

IF YOU ARE A FULLY BODY YES! PLEASE MAKE PAYMENTS TO:

ALYSON STEPHENS

BSB: 062204 

ACC:11060862

Please ensure you use your name as a reference so we can track your payment

TRAVEL TIPS

We highly recommend a night in Ubud on the way to the retreat as it's half way approx 2 hours to our retreat destination in Tejakula. We love the Greenfields hotel in Ubud. We will arrange all transfers to the retreat picking you up from the airport or a hotel on the day of the retreat beginning. We will arrange car pooling where possible to keep costs down however, you will pay the driver directly in local currency. We will be in touch to arrange your pick ups and drops offs closer to the time. 

The retreat begins at 4pm on the 1st November and closes at 11am on the 7th November. Please arrange your flights and additional accomodation accordingly. 

North Bali Women's Retreat Nov 1-7th 2025 - WAIVER & RELEASE FORM

PLEASE NOTE: This is an important document which affects your legal rights and

obligations. Please read it carefully, answer all questions, sign and return the

completed waiver before the commencement of the retreat.

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AGREEMENT FOR PARTICIPATION IN A JOURNEY TO THE HEART WOMEN’S

IMMERSION, NORTH BALI, 1 -7 Nov 2025

*Please note the Journey to the Heart Women’s Immersion, North Bali includes all

activities; accommodation, meals, daily embodiment & yoga practices, massage, sacred ceremonies, circles, rituals, meditation, and specialized workshops, water ceremony with Balinese priest, traditional flower offering workshop, sunrise boat ride with local fisherman, Tree planting.

● I have read and agree to the booking terms and conditions.

● I acknowledge that it is a condition of participating in this activity that I do so at my

own risk.

● I accept all risks and hereby indemnify and release A Journey to the Heart Women’s

Immersion, the retreat/immersion leaders, their agent(s) affiliations, sponsors,

promoters and any person or body directly and indirectly associated with A Journey to the Heart Women’s Immersion, against all liability (including liability for their negligence and the negligence of others directly or indirectly associated with A Journey to the Heart Women’s Immersion) claims, demands and proceedings arising out of or connected with my participation in this activity.

● I accept that A Journey to the Heart Women’s Immersion, the retreat/immersion

leaders and/or other staff are not liable for lost or stolen property.

● I acknowledge that participating in this retreat/immersion may involve a risk of serious injury or even death from various causes, including but not limited to: overexertion, dehydration, accidents, food, animals, people and my surroundings.

● I attest that I am physically fit to participate safely in this retreat/immersion and that a qualified medical practitioner has not advised me otherwise.

● I am not aware of any medical condition, injury or impairment that will be detrimental to my health if I participate in this retreat/immersion. In the event that I become aware of any medical condition, injury or impairment that may be detrimental to my health if I participate in this retreat/immersion, the retreat leaders and/or staff will be immediately informed. By continuing to participate in this retreat/immersion, I accept the risks despite these conditions and still, and will always be under the terms of this agreement.

● I acknowledge this retreat/immersion includes hotel accommodation. I accept I will

stay at this type of accommodation at my own risk.

● I acknowledge that photographs and/or videos will be taken during the

retreat/immersion.

● I accept that any photographs and/or videos taken during the retreat/immersion may be used on social media or for marketing.

● I certify that I am 18 years or older and have read this document and fully understand it. OR, as a parent or guardian of the participant, I agree to the above for myself and on behalf of the participant.

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*(Guardian/Parent to sign if under 18 years of age)