Reservation: Please make your reservations as early as possible as spaces on the bali elements week and flights to Bali are limited and can fill up fast.
After receipt of a completed reservation form and questionnaire via internet we check availability and place a tentative booking for you ( hold it for 7 working days) and send you the payment instructions.

Payment: Full payment within 7 working days secures your reservation and confirms your booking (if no payment is made within this time your tentative booking is automatically released). We will send you the payment intructions upon receipt of your booking form.

Extra Nights: If you would like to extend your stay or arrive prior to the bali elements week at the hotel, please let us know and we will invoice you at a special price and secure your booking.

Phone number:
Email address:
Confirm email address:
Package date:
Package room:


Gender: male female
Country and place of residence:
Coming: solo with a friend with a group
You have been in Bali: never one time several times
What are your main physical activities:

How would you describe your overall fitness: to be improved regular quite good very good
You exercise: hardly ever once a week
three times a week almost every day
Do you enjoy:  
Tennis: yes no      Level: Beginner Intermediate
Squash: yes no      Level: Beginner Intermediate
Have you ever tried:  
Yoga: never rarely regularly
Meditation: never rarely regularly
Pilates: never rarely regularly
Cycling: never rarely regularly
Swimming: never rarely regularly
Aquagym- Training: never rarely regularly
Running / Jogging: never rarely regularly
Personal Trainer: never rarely regularly
How did you hear about us: internet travel agent friends others
Do you have any dietary requirements (eg. vegetarian, don't eat fish), medical conditions, allergies or anything else we need to be aware of? If so please list:
Any request, comment or question about the bali elements week:
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