Mindfulness and Education Retreat Registration

Program Registration

Mindfulness and Education Retreat 2026

July 25 - August 4, 2026

Bali, Indonesia
Hello! We are excited to have you join us in Bali. Please complete the following information and make your deposit in order to secure your spot in the program.

After completing this form and submitting your deposit, you will receive some emails that will request further information from you (flights, emergency contact, medical information, invoice for final payment) and will also provide you with helpful information to ensure that your journey to Bali is as memorable, comfortable and enjoyable as possible.

Feel free to contact us at any time at GlobalAdmin@baliinstitute.com. We look forward to seeing you in Bali!

Basic Participant Info
Name*

First NameLast Name
Email*

Confirmation Email*Please check that your email address is entered correctly, as this will be our main way to contact you.
Phone Number*

Country CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender *
Date of Birth*

MonthDayYear

Rooming
YesNo
If yes, please write your roommate's name here:*
1 shared bed2 separate beds
Please check the box below if you are interested in a single room. (The single room supplement for this program is $750. By checking the box you are only indicating your interest and you will NOT be charged.)
I am interested in a single room.
*Please note that there is no guarantee that we can accommodate every request for a single room, and available single rooms will be given on a first come, first served basis. We will contact you directly regarding your request.

General Terms
Cancellation & Refunds

All cancellations must be in writing.

Due to the nature of this program, preliminary registration deposits are non-refundable. Regardless of cause, cancellations result in additional administrative and processing costs, record adjustments, refund checks and other fees.

If participant does need to cancel for major emergency situations, cancellation policy of program fees for Bali Institute participants are as follows: receive all program fees less the $500 deposit if canceling 60 days or more before program start date; receive 50% of total program fees if canceling 59-30 days before program start date; receive 25% of total program fees if canceling under 30 days before program start date.

Registration payments may be transferred to other parties. No refunds will be given after the program begins.

In the event that the program must be cancelled or postponed due to a border closure, program deposit and fees are fully refundable. If the program is postponed to a later date, participants have the option to use registration and program fees as credit for the rescheduled program.

Cancellation by Bali Institute

We reserve the right to cancel or reschedule any departure for any reason. Please note that although this program is open for enrollment, there must be a minimum enrollment of 8 participants to run the program. We will make the decision 90 days before the program start date to determine if the program will run. If we cancel, except in the case of a force majeure event, we will offer you a full refund of the tour fees, including deposits, or the option to use fees as credit for a rescheduled tour agreed upon in writing by Bali Institute. Participants are responsible for any additional costs for air tickets or other travel arrangements not made by us.

Medication Restrictions in Indonesia

Some prescription medications are considered illegal narcotics in Indonesia. Please note that ALL cannabinoid and cannabidiol medications and products (including all medical marijuana and CBD products) are illegal in Indonesia. If you require medications including morphine, sleeping pills, or medication for ADHD, please contact the Indonesian Embassy for guidance. If you have any questions about taking medication into Indonesia, please confer with the Indonesian Embassy. Bali Institute is not responsible for any disruptions to your travel due to medication restrictions in Indonesia.

Rooming

Please note that the program fee is based on shared rooms (2 participants per room). We will do our best to match you with a roommate, however, if we are unable to do so based on enrollment, a single supplement fee may apply. If you would like to request a single room, please indicate this using the check box below. We cannot guarantee that we can accommodate every request for a single room, and available single rooms will be given on a first come, first served basis.

Travel Insurance

You are highly encouraged to purchase trip cancellation insurance to cover emergency situations. Information about our recommended travel insurance can be found here: https://baliinstitute.com/travel-insurance/
Signature*

Clear
Click and hold while drawing your signature. If using a tablet, draw using your finger.
Click "continue to payment" below and you will be redirected to our payment page to submit your $500 deposit. Please note that your registration is not complete until you have made your deposit.
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Basic Participant Info

Rooming

General Terms