Workshop Application Form

Please choose the event for which you are applying:*
Please choose which you would like to attend:*
- Poi
- Staff
Participating in all instructional events is recommended. What have you got to lose?
Which accommodation option best suits you?*
Tent Camping Info
Tent Camping is free. Please bring your own tent and camping supplies including necessities for sleeping & bathing.
Shared Accommodation Info
6 nights minimum $80 per person per night Share a bell tent or yurt with members of your same sex. A cot and pillow are provided. Please bring your own sheets, blankets & bathing necessities.
Private Accommodation Info
6 nights minimum Pricing is based upon per yurt or cabin (not per person) A bed, pillows, sheets & blankets are provided. Please bring your own bathing necessities. Subject to availability
Which Private Accommodation option best suits you?*
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*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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.
Would you like to receive the Fusion Arts Newsletter?
- Yes
- No
- I'm already signed up!
Be the first to hear about our new acts, upcoming teaching events, new products, etc.
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.

Personal Info:

Passport Information:

Emergency Info: