Introduction to Esalen Massage

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Courses application form, Please fill out all the information below

Contact Details

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Your Information

Name*

Email*

Phone*

Height (cm)

Weight (kg)

Gender*

Male

Female

Do you have any physical limitations that we need to know about?

Do you have allergies or food restriction that we need to know about?

Have you had any illness or surgery in the last year ?

Yes

Hotel/Villa Information

Name Hotel/Villa

Phone Hotel/Villa

Questions to Answers

What day would you to attend*

One-Day Classes

Ideal for beginners and those curious about Esalen, these one-day workshop offers a rich foundation in touch, presence, and basic philosophies.

Price : Rp. 2.000.000

Two-Day Classes

For those wanting to go deeper, the two-day format includes more time for exploration, partner work, and demonstrations in a relaxed and supportive setting.

Price : Rp. 4.000.000

Bonus Offer : 90-min Esalen Massage

Students from the workshop can enjoy the Jari Menari Esalen Massage following the workshop

Special Price Rp. 500.000

Number of Students*

I will stay in Bali for

Days

Can you tell us about your previous massage studies ?

I am taking this class for *

Personal Growth

Professional Growth

I am a massage practitioner? (Leave it blank if you're not Practitioner)

Have a private massage practice

Work in spa

Teach Massage

How did you hear about the class?*

Coupon Code (Optional)

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Note: There is a 24-hour cancellation policy.
We appreciate your notifing us in advance if you need to cancel or change your bookings.

It is best to submit your booking request 3 days in advance
and confirm your booking on arrival in Bali by whatsapp: +62 811 3811 4411

Payment Details

Please choose preferred payment system

I'll pay on arrival*