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Bali
September 2023
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Full name:
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Email
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Where do you call home? (Address please)
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Date of Birth (dd/mm/yyyy)
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What does self-love look like for you right now in your life?
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What would be your greatest intention for yourself entering this retreat?
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Why does this retreat call to you?
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Do you have a mental or medical condition that we need to be aware of? Note- This could be physical, mental or emotional.
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Have you been on a retreat before?
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If you have instagram, let us know your handle so we can connect!
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Your preference for accommodation
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