Welcome to the registration form for the Bali Retreat with Dave Stringer and Alanna Kaivalya. Please fill this out to the best of your ability.

Your Name: *

Your Email: *

Confirm Email: *

Home Address and Country: *

Preferred Phone Number: *

Occupancy: *
Shared room/single bed
Single room/king bed

Expected Arrival Date:

Expected Departure Date:

Have you been to Bali before? *
Yes
No

Yoga Experience: *

Meditation Experience: *

Chanting Experience: *

Are you a vegetarian? *

Do you have any allergies? *

Do you have any physical limitations? *

Special Requests:

We will confirm the receipt of your registration form and be in touch with you within 48 hours. Thank you!

Don't miss the vibrations...