Application Form

Ancient Lomi Lomi immersion Retreat • Maui

February 15-28, 2017

Please submit a deposit and fill out the application below


Take me back to 'Details of this Retreat'

Kahuna Bodywork • Maui Immersion • February 16-29, 2017

Name *
Address *
Phone *
Deposit / Payment Completed *
Are you on any prescription or other medication? *
Where did you hear first about us?
Terms & Conditions of My Registration *

Accommodations & Fresh, Organic Meals:

Payment for Accommodations & Meals will need to be complete by January 15, 2017


Fresh Organic Meals