Bali: May 2024 "*" indicates required fields Booking Form + DepositYou will be asked for payment upon completion of this form. A $500 USD non-refundable deposit is required to complete your booking.Choose Your Room* Resort Room (1 bed): Single or Double Occupancy (0 left) Resort Room (2 beds): Double Occupancy (0 left) Suite (1 bed): Single or Double Occupancy (0 left) Suite (2 beds): Double Occupancy (0 left) Pool Suite (0 left) Roommate Spot Room preference sold out? Please contact Melanie to be placed on the waitlist: novayogaretreats@gmail.comTotal HiddenCurrency* U.S. Dollar Participant InfoName* First Last Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth (month, day, year)* Gender Identity & Pronouns Single or Double Occupancy* Roommate Request Dietary Requests (if none please write N/A) Medical Conditions, Concerns, or AllergiesEmergency Contact (Name & Phone)* How did you hear about us?I'm a past traveller (Welcome Back!)A friendWebsiteGoogle SearchInstagramFacebookNewsletterOtherTerms & Conditions* I accept the Terms and Conditions Click here to read Terms & Conditions.CANCELLATION POLICY: All deposits and refunds are non-refundable: no exceptions. Nova Retreats Inc. is a small business that proudly works with intimate, family-run hotels and venues and we are unable to offer refunds of any kind. If you require more security, please talk to an insurance broker about a comprehensive travel plan that will offer you the coverage you need. If you cancel your booking up to 120 days before the retreat start date: your deposit (less a change/cancellation fee of €150 EUR or $150 USD depending on the currency of your booked trip) and all other payments may be transferred to another Nova Retreats Inc. trip (within one year of the current retreat start date), space permitting. Please note: if you make multiple changes each change/cancellation will result in an additional €150/$150 USD change/cancellation fee. You are also permitted to transfer to a different Nova Retreat OR transfer your booking to another interested party (the change/cancellation fee noted above will still apply). If you cancel your booking between 91 days and 119 days from the retreat start date: you can avail of a one-time transfer of your payments (MINUS your €500 or $500 USD deposit) to another Nova Retreats Inc. trip (within one year of the current retreat start date), space permitting (please note: this is a one-time transfer and multiple changes are not permitted, no exceptions). You are also permitted to transfer your booking to another interested party. Please note: your €500 or $500 USD deposit will be non-transferable and non-refundable if you cancel OR transfer in the 91-119 day time period. If you cancel your booking 90 days or less from the retreat start date: no credit can be given and all monies paid will be forfeited. In the event that the trip is postponed for any reason, including any force majeure event, all monies paid will be converted into travel credit that can be applied to a future Nova Retreat Inc. trip; this credit is transferable and expires one year from the original retreat date. No credit is available if the Participant does not show up or leaves early for any reason. If you interrupt or terminate your travel or participation in the retreat for any reason after it has commenced, Nova Retreats Inc., or any agents, representatives, teachers, instructors and facilitators, is not obliged to offer credit or issue any refunds for unused services.Referred By (name)
