BALI WS Registration Form

BALI Registration Form – workshops only

Name

Phone

Date of birth (YYYY-MM-DD)

Country of Origin

Instagram handle

How long have you been practicing pole?

What pole level do you consider yourself?

Do you have any injuries or medical conditions?

Is there anything else you’d like to share?

Would you like to be added to our email list?

promo code

We can’t wait to dance with you in Bali! You’ll receive a confirmation email within 72 hours.