Active Escapes

Book your Escape: Barbados

Please fill in the form below, selecting the Active Escape you’re wanting to attend.

Please note: A USD$400 deposit must be made to secure your reservation and remember, flights are not included. Flights can be purchased and pre/post accommodation arranged for you by one of our recommended travel agents.

First Name*
Last Name*
Sex*
- Male
- Female
Birthdate (Day/Month/Year)*
Email Address*
Available Retreats*
Package Choice*
Tank Size*
Traveling with a friend? If so, please list their name.
Mailing Address
Cell Phone*
Your Occupation
Emergency Contact Name and Phone number*
Surfing Experience
- Beginner
- Novice
- Intermediate
- Advanced
Please describe your current fitness level and what you currently do for fitness…
Do you have any current injuries?
List any allergies, medical conditions, special dietary requirements or anything else we need to be aware of?
Retreat Goals – What would you most like to get out of the retreat?
How did you hear about us? (Please be specific e.g. Google, guide book, magazine, friend’s name etc.)
Our Payment & Reservation Policy
PLEASE NOTE: A $400 deposit must be made to secure your reservation.
I would like to pay by
Policies and Conditions*
- I have read and understand the Policies and Conditions
Please confirm that you have read our Policies and Conditions
Comments