Let's Talk About Your Trip to Bali!

In preparation for our group call, please complete the pre-departure form. After completing the form, please make yourself available for a group call. If you cannot make the call, there will be a replay available.

Please Follow the Next Steps

Step 1
Complete the Pre-Departure Form to help me prepare for your arrival.
Step 2
Send over your flight details if you haven't already to help arrange your airport pickup. Feel free to email any questions as well.
Step 3
Plan to catch the group call on Zoom (refer to your email for date and time).

Name *

First

Last

How Old Are You? *

When is Your Birthday? *

Where Do You Live? *

Just your city and state is fine.

Where Can I Find You Online? (Instagram/Facebook/Blog Username) *

What is Your Passport Number? *

If you are traveling on a passport other than a US passport, please include which country issued your passport.

What is Your Passport Expiration Date? *

If you are traveling on a passport other than a US passport, please include which country issued your passport.

Please Share Your Flight Details. *

Please add your flight arrival and departure details. Or simply write, 'Will Email." and forward your flight confirmation email(s) if you haven't already.

Which Describes You Best? *

I go to bed early.
I like to stay up late.

What Are Your Drinking Preferences During the Bali Breakthrough Retreat? *

I do not drink alcohol.
I like the occasional glass of wine or cocktail.
I like to have a few glasses of wine or cocktails.
Shots! Shots! Shots! Shots!

What Are You Celebrating On This Trip? *

There is always something to celebrate. Pick your reason (s).

We Will be Having an All-White Party on the Final Day of the Retreat. This is My Way of Making Sure You Know That. *

Received, Sis! I already have my outfit!
I'll get to shopping.
I might need to buy my outfit in Bali!

In Clothing, Which Size Do You Prefer? *

One Size Fits All Large
Plus Size

What are Your Favorite Colors? *

White
Pink
Red
Green
Blue
Purple
Teal
Other

Check as many as you'd like.

What Are Your Diet Restrictions During the Bali Breakthrough Retreat. *

Strict Vegan Diet
Plant Based
Vegetarian
Pescatarian
No Restrictions

What Do You Typically Eat for Breakfast? *

Anything to Add About Your Diet?

Use this space to tell me more about what you prefer to eat and avoid.

Please Share Any Allergies You Have.

Anything Else You'd Like to Share?