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Radiance Yoga Wellness Retreats
with Jessie Chapman & Facilitators
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HOME
ABOUT
RETREATS
BYRON BAY YOGA RETREATS
NEW ZEALAND YOGA RETREATS
BALI RETREATS
FRANCE YOGA RETREATS
ITALY YOGA RETREATS
SPAIN YOGA RETREATS
GUEST REVIEWS
FAQs
CALENDAR
CLASSES
BYRON BAY YOGA
VIDEO ON DEMAND
LIVE ONLINE
STORE
RADIANCE SHOP
RETREAT PAYMENTS
BLOG
CONNECT
CONTACT US
NEWSLETTER SIGNUP
ARTICLES & MEDIA
Bali Retreat Registration Form
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Which Bali Retreat date are you registering for?
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June 8th - 14th 2026 > Bali Yoga Spa Restore Wellness Retreat
August 15th - 21st 2026 > Bali Yoga Spa Restore Wellness Retreat
June 20th - 26th 2027 > Bali Yoga Spa Restore Wellness Retreat
August 14th - 20th 2027 > Bali Yoga Spa Restore Wellness Retreat
Your Name
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Have you been on a Radiance Retreat before? If yes, whereabouts?
What room type would you like to stay in?
Twin Share Room with ensuite bathroom
Single Room with ensuite bathroom
If selecting Twin Share: enter the person you're sharing with OR type 'choose for me'
Country & state/region where you live
Your contact number
Age or year of birth
Gender
Emergency contact: name & number
Occupation (optional)
List any injuries, physical conditions, allergies or medical conditions, etc that we need to be aware of
Meals: Do you have any food allergies, food intolerances or other dietary requests?
Yoga: Are you new to yoga? Have a regular practice? If so, what style of yoga do you practice (if known). Let us know more here
We'd love to know your reason/s for joining the retreat; what you'd like to experience / get out of the retreat
Anything else you feel we should know about?
Where did you find out about Radiance Retreats
Word of Mouth / Friend
Jessie's Yoga Books
Radiance Yoga DVDs
Internet Search
Radiance Facebook, Instagram or YouTube Channel
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Other / how you found out about the retreat
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