Booking Form

  • Please note that Platinum Healing is NOT a medical or a mental health facility. If ANY of the following apply to you, please DO NOT complete this form. You can contact us . Pregnant or Nursing Mother, Insulin Dependent Diabetes, Peptic Ulsers, Cardiac Arrhythmia, Tuberculosis, Advanced Heart Disease, receiving any form of Psychiatric Care, Severe Mental Illness, Alcoholism, Drug Abuse or Addiction, Anorexia or extremely underweight.
  • If you are coming to quit smoking, for fertility, menopause etc.. please note that NOT everyone is coming for these reasons. The retreats are mixed with different requirements and are also mixed gender.
  • PLEASE NOTE: All bookings are subject to availability and only confirmed once we have approved your booking form and payment for the retreat has been received.
  • Names and relationship to the people I am coming to the retreat with (if applicable). PLEASE NOTE: All individuals joining you MUST complete a separate booking form. We cannot accept a joint booking form.
  • Occupancy is subject to availability.
  • Date Format: DD slash MM slash YYYY
  • Please type your full name below. By contacting us and booking a retreat I have already agreed to the terms and conditions.
  • Date Format: MM slash DD slash YYYY