Mid-Year Bali Retreat - 7 to 14 JUNE 2020

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* 1. NAME:

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* 2. ADDRESS:

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* 3. DATE OF BIRTH?

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* 4. PROFESSIONAL DISCIPLINE?

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* 5. CONTACT DETAILS:

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* 6. Have you visited Bali before?

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* 7. Do you have any special requirements e.g. dietary, mobility, cultural?

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* 8. What are your specific hopes for the retreat experience?

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* 9. Is there anything else you would like me and/or the group to know about you?

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