Name *

First Name

Last Name

Phone *

Country

(###)

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Emergency contact name *

First Name

Last Name

Emergency contact phone *

Country

(###)

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Are you afraid of heights or flying? *

Your experience includes a 25 minute helicopter joy flight. Click any that apply

I am not afraid of heights

I am not afraid of flying

I am afraid of heights

I am afraid of flying

I will NOT go on the helicopter flight and understand that I cannot be refunded for this experience

Do you have any of the following? *

Click any that apply.

Vertigo

Epilepsy

Bipolar disroder

Schizophrenia

None

I understand I am responsible for booking my own return flights to Ayres Rock Airport, travel insurance and any additional accommodation before or after the retreat if I wish to arrive before the 8th August and/or leave after the 13th August 2024. *

Yes I understand and agree to this T+C

I understand I must have a high level of fitness and be able to walk 10km on level ground and 6km on grade 4 terrain. *

Yes I understand and agree to this T+C

I understand my investment includes a $1000 non refundable deposit. If I cannot attend, I forfeit this deposit, unless a full paying replacement guest can take my spot. *

Yes I understand and agree to this T+C

I have read the Home to the Heart Uluru Retreat brochure including the payment policy, cancellation and refund policy. *

Yes I have

I understand 50% of the total cost ($2,944) is due by 1st April 2024. I understand the full balance is payable no later than the 3rd June 2024. Failing to pay the balance in full may forfeit my attendance, and loss of investment. *

Yes I understand and agree to this T+C

I understand that my investment is provided by EFT/bank transfer. If I wish to use a credit card for online payment, I incur a $170 card processing fee which will be added to the total cost of the retreat value. *

Yes I understand and agree to this T+C

I understand that I am attending this experience at my own risk and will sign a waiver to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of my participation. *

Yes I understand and agree to this T+C

I understand I am responsible for buying two lunches that will be taken on the day hikes and can be purchased from town square. I also understand that alcohol is not included and beverages during the lunch meals at Walpa Lobby Bar are not included. I am responsible for buying these if I want them. *

Yes I understand and agree to this T+C

I understand that photos and videos will be taken and shared by the hosts, Tanya Savva and Amanda Christensen for the purposes of social media, websites and future marketing material. If I do not agree, I will contact them directly to discuss. *

Yes I understand and agree to this T+C