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Register for the 2027 Bali Retreat

First name

Last name

Phone

Payment Choice

Pay in Full ($2,997 per person until 7/1/26. $3,497 after that date)

Make Monthly Payments (aprox $300/month. Early Bird pricing still applies until 7/1/26)

Venmo Account

Are you traveling with someone? If so, please list their name NOTE: A form needs to be filled out for each person.

Select T-Shirt Size

Small

Medium

Large

X-Large

Please list any dietary restrictions

I understand there is a $500 non-refundable deposit required to secure my spot.

To avoid unecessay charges and fees, payment for the retreat will be handled via Venmo. Payment reminders will be sent from @Mel356. If you chose to make payments, a payment request will be sent every month. You will receive a request for a $500 non-refundable deposit to reserve your spot.