Be Well Bikram Yoga Bali Retreat

Be Well Bikram Yoga Bali Retreat

AUGUST 3 - 8 2026 ⭐️
Personal Information 🧘
Thank you for your interest in joining our retreat! Please complete the form below to secure your spot.
Full name
Phone / WhatsApp
Email
Age
Emergency contact
Health & Wellbeing 🍃
Do you have any injuries or pre existing medical conditions we need to be aware of?
Do you have any allergies?
How long have you been practicing yoga?
Do you have any dietary requirements or restrictions?
Please note, this retreat is being held in Indonesia. Please only specify genuine restrictions. We will try our absolute best to accomodate.
Accomodation Specification 🏡
Are you planning to arrive early or stay on for extra days? If yes, please specify
Payment for extra days is due with final payment by June 30
✅ Agreement

By signing below, I confirm that:

- I take full responsibility for my health and wellbeing during the retreat.
- I understand $500 deposit is non refundable. Final payment is due June 30.
- I agree to the terms & conditions provided by Be Well Yoga Studio.
Signature

$500 Deposit (Non Refundable)

$500.00 AUD Quantity

Total