Book Form: Morocco Yoga Retreat MrMs Your Name (required) Your Email (required) Your Mobile Number (required) Your Address (required) Booking Information Your Preferred Dates (required) Please use a separate booking form for each bedroom. Each room has 1 double and a single bed. I would like to book the Essaouira Yoga Mini Break (if anyone in your party is below 16 please email me on firstname.lastname@example.org) What are the names and dates of birth of the people coming on the holiday? MrMs MrMs MrMs If you are travelling alone, would you like to share a room with someone of the same gender for a discounted rate? ---No. I'd like my own roomYes. I'm happy to share About You We'd love to know a bit more about you, so we can plan the best possible trip for you. This information is strictly confidential and is only ever read by Saskia and disclosed to the chef where relevant. Do you, or anyone in your party, speak any languages besides English? None French Italian Spanish Russian Arabic Other (Please specify) Do you have any dietary requirements? What would you like to gain from the week? What are the activities you really want to do if any? I would like to...Dance in the moonlight Learn to surf Surf solo Do stunning hikes Meet fabulous people Have a lie in Enjoy some solitude Chill out Go on a gentle ride Gallop along a beach all day (I am a pro) Hang out at the posh Spa! Improve my yoga Try a local Hammam Eat great food Other (tell us EVERYTHING!) About Yoga Have you practised yoga before? If so what style and how much? What most interests you about yoga? For example the physical well being, emotional clarity, the philosophy behind it? Additional Information Please let us have an emergency contact name and number. How did you hear about La Source?Recommendation Google Other search engine Word of mouth Other (Please Specify) Anything Else? Payment Thank you! Once I receive this form, I will send you an invoice and booking confirmation. We accept payment by Paypal and via bank transfer. If you are in the UK please consider a bank transfer as there are no charges for us. If you are not in the UK or prefer to use PayPal you are welcome to do so. PayPal accept credit and debit cards. Do you accept our Terms and Conditions?