Bali Registration

DEPOSIT PAID? Please FILL out FORM:

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Name *

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List dietary restrictions or allergies: *

List medical conditions, injuries, or mental health issues that we need to be aware of for safety *

List room requests or if you're a light sleeper *

What are you most interested in learning about yoga? What kind of content would you like us to offer? *

What are you looking to get out of your retreat experience? *

Other info you'd like to share *

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