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Anapanasati 2 Day Retreat
Soul, a Silent Retreat Bali
LOVIN LIFE collection
GYPSY JEWEL collection
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To apply, please take the time to fill out the information below, and in the next steps.
any issues with this form please reach out on
Date of Birth
Phone (+ country code)
WhatsApp Number if different from your phone number
What gender do you identify as?
Emergency Contact. Name & Phone Number
How did you hear about this retreat?
Where are you traveling from?
Tell me a little bit about yourself and the reason you would like to join this retreat
Please upload a photo of yourself
Upload supported file (Max 15MB)
What do you currently do for work?
Have you ever practiced Yoga/ Meditation/ Anapana/ Vipassana? if so, describe (it's ok if you haven't)
What do you consider your greatest strength?
What do you consider your greatest weakness?
Why would you like to attend the retreat, choose your priorities
A phone and screens detox
I always wanted to learn the Buddhist practices but was nervous
I need time for myself
I never meditated and always wanted to learn how to meditate
I want to deepen my yoga and meditation practice
I experince PTSD or other mental stress and want to learn tools to flow with life with ease
I want to work on my subconscious mind
Learn to calm my mind and observe the reality as it is
Learn the Buddha’s powerful techniques, to liberate from patterns of behaviour, conditioning and traumas.
Enhance my self love and my love and compassion to all living beings
What are you hoping to get out of this retreat?
Do you have any of your own props? We have a limited amount to supply
2 Yoga Blocks
No Mat/ Props
Are you attending alone or with someone you know? If not alone, please specify.
What questions do you need answered before you can commit to the retreat?
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