2022 Beauty that Transforms - Bali Retreat application

BEFORE APPLYING, please review all the retreat INFO including pricing . . . .

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?

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 and can support you through? If yes, please elaborate.

Once registered, we'll add you to the Facebook group for this journey. What is your FB name? And how about IG?

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.

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.

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 beautiful retreat center. 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/2022-btt-bali-retreat). Are you ready to come to Bali??

Any questions or comments?

2022 Beauty that Transforms - Bali Retreat application

BEFORE APPLYING, please review all the retreat INFO including pricing . . . .

Bali

Hawai'i

Colorado