You can always press Enter⏎ to continue
Bali Sojourn Survey: May 2026 (date TBC)
Hi there! Please fill out and submit this form regarding your invitation to the BALI SOJOURN.
6
Questions
START
1
Name
*
This field is required.
We need your name so we know who you are!
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Mobile Phone Number
So we don't have to ask for this again during on-boarding :-)
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
3
Email
*
This field is required.
Best email so we can contact you!
email@domain.com etc
Previous
Next
Submit
Press
Enter
4
What will be your age this year?
*
This field is required.
Helps us understand the mix of ages
Previous
Next
Submit
Press
Enter
5
We are considering 3 months this year ...
*
This field is required.
Let us know which month works best for you. (You can select all that apply)
July 2025
Aug 2025
Sep 2025
Sometime in 2026
Previous
Next
Submit
Press
Enter
6
Would you be flying or driving to Ceduna?
*
This field is required.
If flying, you would depart from Adelaide via REX at 07:00 to Ceduna on 14 Aug, arriving at 08:40 On return, you would depart from Ceduna via REX for Adelaide either Sunday 20th @ 18:00 or Monday 21st @ 09:30. If driving, you'll need to be in a 4WD to access the Nullarbor site.
We will meet all participants in Ceduna Airport Monday 14th and then drive together, to the remote site.
Flying Adelaide to Ceduna
Driving to Ceduna (requires 4WD)
Previous
Next
Submit
Press
Enter
7
Do you have any special dietary or medical requirements?
*
This field is required.
(Fully confidential and only for the Facilitators)
None
Previous
Next
Submit
Press
Enter
8
What is your current commitment level to attend?
*
This field is required.
Simply so we can gain some idea of the overall group
1
2
3
4
5
6
7
8
9
10
Not sure if I can make it
Count me in!
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
8
See All
Go Back
Submit