Chakra Bali Logistics Questionnaire

  • Personal Details

  • Address

  • Flight Details

  • (It must have at least 6 months currency from the date of arrival in Bali)

  • Accomodation

  • It is $A75/day twin share or $A140/night single room, including breakfast.
  • Anything that you think we should know? Dietary needs?
  • How is your health now? Are you taking medication? Any serious past medical ailments? Any injuries?