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BREATH | BODY | MIND
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WELLCATION
BOOKING FORM
Room 1: Guest
Room 2: Guest
Child
Email 1
Address
City
Postal / Zip code
Country
Choose your Plan
*
Beta (Family Daycation)
Alpha (Family Wellcation)
No. of Rooms
*
1
2
Accommodation
Single Occupancy
Double Occupancy
Twin sharing (2 single beds)
Double Occupancy (with extra bed)
Check in
Check out
Meal Plan (choose one with us). Second Meal at Club House or dine out
Lunch
Dinner
Food Preference
Vegetarian
Non-Vegetarian
Food restrictions, if any
Choose your Self-care Therapy (1-on-1)
Thai Hand/Foot Re-flexology
Thai Yoga Bodywork
Acupressure
Walk-talk Therapy
Hypno-therapy
Coaching Interaction
Self-care Consultation
Choose your Self-care Practice (Group)
Mindful Breathing
Mindful Meditation
Mindful Relaxation
Singing Bowl Therapy
Self-care consultation
Details: No. of Sessions/people etc.
I understand that this form is a request for booking, and that the booking is confirmed when payment is complete. I also understand that I can cancel/change dates 48 hrs prior at no cost, and that no refund is considered if cancelled in less than 48 hrs.
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