Registration Form: Unplugged In East Bali 13-16 Sept 2025
Dear Participant,
Thank you for choosing to journey with us.
This form is more than just details. It’s the first step in shaping a retreat that’s thoughtfully tailored for you.
From practicalities to personal touches, your responses help us create a space that feels safe, supported, and deeply restorative.
It’s also how we begin to know the person behind the name, because to us, this isn’t just a trip. It’s a gathering of women who are ready to pause, reconnect, and exhale together.
With warmth,
The Adimelali Bali Team
Traveler 1
By typing your full name above, you confirm that this serves as your electronic signature. You acknowledge that all information provided is accurate to the best of your knowledge and that you accept the Terms & Conditions, Liability Waiver, and all stated retreat policies. This electronic signature has the same legal effect as a handwritten signature.
Your Advisor
Azira Abdullah
Adimelali Bali
hello.adimelalibali@gmail.com
+60173901782