Bali and Beyond
Ubud, Bali
October 7 - 13, 2024

As we travel on a trip halfway around the world, it is important to make sure that this is the right fit for you and the group at large. Please fill out the following application to the best of your ability.

After we review your application, we will reply within 3 days to let you know your status on the retreat. We may schedule a call or reply via email, and move forward to your preferred payment plan. Thank you for your interest.

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Name *
Phone number *
Email *
Social Media/Website *

Do you have a valid passport?

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Where do you live now? Where will you be traveling from?

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Dietary restrictions *

Do you have any relevant physical or mental health challenges? If so, please explain to your level of comfort.

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Have you ever been to Bali and/or traveled internationally? If yes, please explain *

What are your intentions for participating in this retreat? What are you wanting to get and what are you prepared to give?

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Do you have prior musical experience in any capacity? If yes, please explain and include any websites/links to work.  *

How are you in group settings?

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Have you previously worked with Ray Ippolito. If yes, please explain (student, professional, music, other..) *
How did you hear about this and what inspired you to apply ? *
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