Workshop Application Form

Please choose the event for which you are applying:*

Please choose which you would like to attend:*

We highly recommend participating in all instructional events. What have you got to lose?!

Please choose which you would like to attend:*

No extra charge for attending all 3!

Staff Level (for those taking staff workshops)

Please choose the level of instruction which best suits you. Verify your level using the "Prerequisite Videos" page

Personal Info:

Name*

Prénom Nom

Mailing Address*

Adresse postale Adresse ligne 2 Ville État / Province / Région ZIP / Code postal Pays

Phone*

Email*

Date of Birth*

Gender*

Profession

Passport Information:

Country of Residence

Emergency Info:

Emergency Contact Name*

Relationship*

Telephone*

Medical Concerns

Hidden

Room Preference*

Room Preference (Bali)*

Which type of accommodation would you like? Total Retreat Price is determined by which type of accommodation you choose. Please refer to the section on Retreat Pricing on the event page for details.

Accommodation Preference (Oahu)*

Would you would like more information about rates and availability for the yurts & cabins?

Room Sharing 1 (Bali)*

What is your preference for sharing accommodation?

Room Sharing 2 (Bali)*

Are you coming alone or with friends (friends/ partners/ family)? If sharing, are you looking to share with other retreat participants whom you are yet to meet?

Roommate Request

Questions/ Comments about Accommodation:

Musical Preference

We'd like to take your musical preference into account when making our playlists. Please name your favorite 3 musical styles or groups.

Questions/ Comments:

How did you hear about the retreat?*

Referencing the source from which you heard about the event is required for enrollment. Thanks for your help!

Other...

Please elaborate about how you heard about the event. THANKS!

Agreements*

I have read & agree with the Fusion Arts Payment and Cancellation Policy
I have read & agree with the Liability Release
I have read & agree with the Copyright agreement and data processing notice
I understand that I am required to bring my own props. Alternatively, a 10% discount & free delivery to Oahu is offered to all retreat participants from the Fusion Arts Shop.

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A non-refundable deposit is required to reserve your space for any program. Upon submitting this application, you will be redirected to a payment page where you may pay via direct bank transfer or paypal. Applicants must be 18 years of age by the retreat start date.