BALI HANDSTAND RETReAT RESERVATION FORM

*Please note: Once you have submitted your application form you will be contacted directly by Mel. She will then discuss payment options with you and answer any questions you may have. Once we have received the full payment, your place on the Retreat will be secured. Mel will keep in contact with you to confirm your flight times to organise your transfers to and from the airport in Bali.

Name 1

First Name

Last Name

T-Shirt Size Preference

This is for the person listed as Name 1

Name 2

If you are booking and paying for the retreat with another person, please put their details here. If you are booking alone, leave this blank.

First Name

Last Name

T-Shirt Size Preference

For the person listed at Name 2

Contact Email Address

Mel will communicate a number of important things with you via email. Please ensure this address is correct and that you check it frequently.

Contact Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Facebook Messenger Name/s

This will be used to add you to the Bali Handstand Retreat 2019 Facebook Group (So you can meet everyone before you arrive). Mel will also make contact with you via messenger if this is your preferred method of communication

Preferred method of communication

Facebook Messenger

Phone

Accommodation Preference

Carefully review the accommodation options within the information booklet prior to selecting your accommodation preference. Please note: If your room of preference is unavailable, Mel will contact you to sort out another option.

Prefered method of payment

Workshop Preferences

As we are currently formulating the workshop timetable and we would love your input! Please let us know what workshops you would like to have available to you during the retreat.

How did you find out about the Bali Handstand Retreat?

Do you have any other questions?