2020 BTT Bali Application

please review all the retreat INFO including pricing & deposit details before applying

Name

First Name

Last Name

Where do you live?

How did you hear about this retreat?

If given a referral code, then please indicate below. (Leave blank, if none.)

Have you traveled to a developing country before? If so, which one(s)?

What Flow Dance and/or Yoga trainings or retreats have you been to in the past?

How much experience do you have with flow - hoop, poi, staff, etc.? What is your experience with dance and/or yoga? (Keep in mind that beginners are welcome.)

What is your intention for this retreat and why do you want to come?

Are you interested in learning about NaiAsa Institute's coach training programs?

Do you have any food allergies or dietary restrictions? If yes, please specify.

Do you have any injuries or health challenges we should be aware of? If yes, please specify.

Do you have any emotional or mental trauma that we should be aware of? If yes, please elaborate.

If your application is accepted then would you like to be a part of the private FB group for this journey? If yes, then please provide FB name and we'll add you. If not, then please put no.

If you're considering a shared room, then whom would you like to have as a roommate? (No guarantees - we'll do our best to accommodate.)

If you're considering bringing your family, then please indicate who that is and their ages. (We may be able to accomodate families and considering its feasibility.)

What do you currently do for play?

What do you currently do for work?

When is your birthday (just month/day)? We'd like to celebrate that day if we can.

Whom should we contact in case of emergency? Please leave their name, relationship, phone, and email address.

Are you ready to commit?

This is an intense & playful, transformational retreat. You'll be making a significant financial investment in yourself as what you'll learn is invaluable and will take place in a luxurious resort. If accepted, you'll make a non-refundable $500 deposit and pay the rest of your balance in full or installments (please review pricing: https://naiasainstitute.earth/2020-bali-yoga-retreat). Are you willing to make this investment? (Note: you'll save 15% if you pay-in-full.)

If you answered "not this time" in the previous question, what other services might you be interested in?

(Don't think you're a good fit for the retreat? Apply anyway and we can set up a time to talk about my other services and programs.)

2020 BTT Bali Application

please review all the retreat INFO including pricing & deposit details before applying

Bali

Hawai'i

Colorado