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Jalan Tengkulak, Gianyar, ubud 80571, Kemenuh, Sukawati, Gianyar Regency, Bali 80582, Indonesia

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Name *

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Gender *MaleFemale

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Select Your Health Issue *

Other Health issues

ZIP / Postal Code

Country *

Choose Batch *

Accommodation / Non residential *Non-residentialTwin bed roomPrivate room

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Total Payment

Consent *

Yes, I agree with the privacy policy and return and refund policy.

Yoga Registration Form

Name *

Phone *

Gender *MaleFemale

Email Address *

Select Your Health Issue *

Other Health issue *

ZIP / Postal Code

Country *

Choose Batch *

Accommodation / Non residential *Non-residentialTwin bed roomPrivate roomfor partial / half payment select twin bedroom or private room

Payment optionsPartial Payment

Consent *

Yes, I agree with the privacy policy and return and refund policy.

Total Payment

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