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1.Add Your Details

*(1 ) First Name

*(1) Last Name

*(1) Email

*(1) Phone number

*(2 ) First Name and Second Name

*(2) Phone Number

*Participation Costs

Rainforest Homestead Members payments before Nov 30th $1650

Rainforest Homestead Non-members payment before Nov 30th $1950

Rainforest Homestead payments members and non-members after Nov 30th $1950

Rainforest Homestead Payment plan $1950

One-Bedroom Private Members Payment before Nov 30th $1850

One Bedroom Private Non-members payment before Nov 30th $1950

One-bedroom members and non-members payment after Nov 30th $2200

One-Bedroom Private payment plan members and non-members $2200

*(2) Email

*Country/ City from you both will participate

*Are you a 2025 member of the Gestalt Art Therapy Club?

Yes

I would like to be a member send me details please

I would like to pay the workshop participation by

*Please write DOB of both participants

*You both agree to complete a questionnaire that will be sent to you by email, containing questions about your relationship status, family members, and other relevant information.

Yes We both Agree

*Do either you or your partner have any food allergies or dietary requirements? If yes, please provide details for both participants.

*I read Cancellation policy information and we both agree.

Yes

2.Event Policies

Couples Retreat- Reconnect- Reflect- Rebuild

09 Jan 2026, 5:00 pm AEST – 11 Jan 2026, 1:00 pm AESTLocation is TBD

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Email: gestaltarttherapy @gmail. com

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