#BMJ *OTUJUVUF

A R evol ut i onar y Appro ach to G l obal L ea der sh i p
■ Women Leaders Changing
the World
(Program runs from January 5-9, 2009)
Price:
$7,600 (US) thru June 30 (early bird).
$8,500 Beginning July 1
Includes:
• 5 nights at gorgeous Balinese
villa hotel (room nights from
1/4 thru 1/8, single occupancy)
• 5 breakfasts, 5 lunches,
1 banquet dinner
• Airport transfers if arriving/leaving
on exact program dates
• All program materials
Price does not include:
• Airfare
• Most dinners
• Optional tours and excursions
■ Post-Leadership and Coaching
Intensive, January 10, 2009
Price: $250
Includes: Delicious lunch
(Requires extra hotel nights, and
arrangements can be made by the
Bali Institute)
Space Limited–Register Now!
Early enrollment is strongly encouraged
to hold a place at this exciting training.
For more information, visit
www.baliinstitute.org or call
415-331-7552
Pr ogr ams 20 09
Ex cel l ence
Women Le a de r s Ch anging
the Wor l d ( WL CW )
Bali, Indonesia • January 4-9, 2009
A P rog r am fo r Se n i o r Ex e cu t ive Wo m e n t ha t C rea te s
Ex t rao rd ina r y, S us ta in a ble L e ader s h i p Succ e s s
You are invited to join women leaders from around the world who are ready to redesign
their leadership and life from the inside out for the sake of changing the world. Be part
of an innovative community of global women leaders with vision, passion and a desire
for breakthroughs that will enhance and engage your capacity for success and leadership
excellence. Explore indigenous wisdom and transformative reciprocal learning that
promises to shape your future as a committed global leader.
W ha t D oe s t his F ive - da y Pro gra m In cl ude ?
• 30 hours of learning sessions with world-class experts and a community of senior
women leaders from several countries who share similar commitments, concerns and
organizational challenges
• Presentations from Balinese indigenous leaders, royalty and cultural experts
encouraging you to rethink leadership from a more global perspective
• Evocative experiences designed to use collective intelligence and wisdom of all
participants to expand your capacities as exceptional leaders for the 21st century
• Materials and tools to maximize learning and ability to transfer to others
• Time to partner with other participants using an applied learning approach to solve
tough organizational challenges
• Opportunity to collaborate and co-create critical business and leadership strategies
that support pivotal business initiatives on a local and global level
So me U nfor get ta bl e To o ls an d Ta ke- awa ys
• Increase organizational value and produce breakthrough results
• Negotiate win-win solutions with colleagues and clients
• Build individual and organizational capability to increase performance
co nti nued

“
Rayona provided a set of
relevant, applicable tools that
I can leverage repeatedly to
ensure best decisions are made
in the fastest, least expensive
manner…netting savings across
the board ranging from cost-
cutting measures to simple things
like reducing meeting durations
down by an average of 50%.
— Gretchen McCoy, SVP,
Information Management, Visa Inc.
#BMJ *OTUJUVUF

• Improve communication skills to exercise influence and execution across boundaries
• Broaden your understanding of what it means to be a global citizen in an emerging
global economy and how to leverage that for your organization
• Develop practical ways to increase and sustain leadership presence and work-life
balance without compromising your ability to make a difference
No t Yo u r U s ua l E xe cu t i ve Pro g ram !
Ins titut e for Wome n’s Leader ship
The Institute for Women’s Leadership is a globally respected leadership institute
dedicated to advancing the full partnership of women and men as leaders for
sustainable change in organizations and communities. Our approach to leadership
effectiveness includes a focus on addressing your specific development needs and
providing practical and applicable ways to increase and sustain your leadership presence.
We believe that being an extraordinary leader is more about how you impact others and
how well you harness the resources within yourself and others to achieve sustainable
organizational success. Amazing business results can be achieved through understanding
how you leverage individual differences to manage conflict and resolve issues. Our
satisfied clients (partial list) who have participated include Adobe, Boeing, Charles
Schwab, FedEx, Hewlett-Packard, GAP, Levi Strauss & Co., Oral-B, PWC, SC Johnson, Teva
Pharmaceuticals, Visa International, Yahoo and Wells Fargo Bank.
Bal i Ins ti tut e for Glo bal Renewal
The Institute for Women’s Leadership is collaborating with the Bali Institute for Global
Renewal, a premier world learning and dialogue center that focuses on multicultural
leadership training, world dialogues, global activism and other programs that weave
Balinese cultural learning and indigenous wisdom practices as a central component
of the transformative learning experience. The Bali Institute includes a consortium
of international organizations, corporations and thought leaders who are invested in
new forms of collaborative leadership training as part of a worldview that promotes a
sustainable, humane and culturally-diverse life for all. Facilitators for these programs
have included Archbishop Desmond Tutu and two other Nobel peace laureates, the
cultural minister of Bhutan, the former president of Indonesia, Apollo 14 Astronaut Edgar
Mitchell, members of Balinese royal family and local government, and numerous other
dignitaries and world leaders.
W ho S h o ul d A tt e nd?
Our WLCW program is designed to ensure the highest quality of learning is achieved
during your time with us in Bali. Participants are women leaders working within two
management levels of the CEO for Fortune 500 companies, government agencies, or
organizations achieving critical acclaim at a regional, national or international level. You
can expect an environment of generosity, empowerment, relationship and creativity
while you partner with peers using an applied learning approach to solving tough
business challenges.
Scholarship funds are currently being raised to provide an opportunity for a select group
of women leaders from developing countries who will benefit from this training. We
know that having these women in our training will bring enormous value to enhancing
our mutual understanding of global issues and the impact women increasingly have in
the emerging global economy.
co nt inu ed
For more information or to register, visit www.baliinstitute.org or 415-331-7552
 Why Ba l i?
The Balinese perspectives on leadership and integral living will provide a fascinating
context for expanding our capacity as global leaders in the 21st century. This gorgeous
island is one of the most peaceful, beautiful places on earth, and was the recent location
for the 2007/08 United Nations Climate Change Conference. Bali’s rich, relationship-
oriented culture has much to offer about learning to live harmoniously with one another
and our planet. Imagine the excitement and transformative opportunities you’ll have in
exploring the emergence of a new kind of sustainable leadership that emanates from

“
indigenous wisdom and grounded in an exchange of cutting-edge leadership practices.

Ba li n e se Hi ghl ig h ts I nc lu d e:
• Meetings with local Balinese women village leaders and government officials
• Evening dialogue and reflection time in small gatherings
Rayona Sharpnack offers a
• Special dinner with local Balinese villagers
compassionate process for
sharp-edged change. Her under- • Private discussion with the royal family in Ubud about indigenous leadership
standing of the relationships • Balinese performances unseen by most tourists
among context, behavior, impact, • Priceless cross-cultural experiences
and engagement is backed by
• Lifelong friendships with Balinese
compelling human examples.
• Optional visits to schools, orphanages and other innovative NGO programs
— Ambassador Swanee Hunt, founding
director of the Women and Public
Policy Program at the Harvard Kennedy
School

A bo u t the Wor kshop L ea de r s

Rayona Sharpnack, founder/CEO of Institute for Women’s Leadership. Since 1991,

more than 20,000 professionals from Fortune 500 companies have relied on Rayona
and her organization, the Institute for Women’s Leadership, to produce breakthrough
results both at work and in their personal lives. She has presented her outstanding
achievements in advancing women leaders, and building high performance
organizations, to prestigious institutions and associations such as: Harvard University,
Stanford Business School, UC Berkeley Business School, Mills College, State of the
World Forum, the Canadian Federal Government, the Australian Federal Government,
Leadership America, and the Professional and Business Women of California. Rayona
is also the Chairwoman of Leadership Development at Harvard’s Kennedy School,
Women’s Leadership Board. She is the author of Trade Up: 5 Skills for Redesigning
Your Leadership & Life from the Inside Out. For more information, visit
www.womensleadership.com.
Special Balinese guests include Dr. Luh Ketut Suryani, M.D., Ph.D., (invited)
retired head of the Psychiatry Department at Udayana University in Bali and a major
advocate for women’s issues in Bali and Indonesia. She has her own weekly television
program on women and culture.
Other invited guests include members of the Ubud Royal Family, local government
and civic leaders, and others to be announced soon. Final guest presenters will be
listed on www.baliinstitute.com later in 2008.

#BMJ *OTUJUVUF
For more information or to register, visit www.baliinstitute.org or 415-331-7552

Dear Bali Institute Participant:

We are delighted that you have chosen to attend one of our programs at the Bali Institute for Global
Renewal. Included in this packet are several items to complete your registration process. Please print
the following forms, complete them in full, and mail them to the Bali Institute, PO Box 867, Sausalito,
CA 94966 or fax them to 415-259-0443:

 Registration Form
 Terms & Conditions Form
 Medical Form

Upon receiving your registration documents and payment, we will confirm your registration with an
email letter. This letter will have basic information about your Bali Institute program and any additional
planning and travel information. Approximately 30 days prior to your program, you will receive a packet
in the mail with details about your program, hotel arrangements and other important final information
prior to your departure to Bali.

Additional helpful information:

Travel and Insurance: The Bali Institute does not organize flights or other travel related details.
We do recommend Pacific Harbor Travel at (831) 427-5000 for booking your international flights. If
you would like to arrive prior to the program or extend your stay and tour Bali, we highly recommend
our Bali Institute Travel Manager, Reza Tapilaha at Bali Connection: reza@bc-tours.com Even though
you may be covered by your personal medical insurance, we recommend that you purchase travel
insurance, which can cover you in the event of trip cancellation or trip interruption. We recommend
CSA Travel Insurance. For more information on travel insurance please contact Pacific Harbor Travel.

Special Ubud Medical Assistance Coverage: We have arranged with the Ubud Medical Clinic
to provide on-site medical assistance during the your program. The Ubud Medical Clinic provides 24-
hour care for any number of travel-related ailments or minor medical emergencies. Please read the
information below about these services. A portion of your fee helps provide new equipment for the
Ubud Medical Clinic and free health care for local Balinese.

Of course, at anytime you may contact us with questions at 415-331-7552 or via email at
info@baliinstitute.org. Thank you for registering for this Bali Institute for Global Renewal program.

We look forward to spending important time with you in Bali!

Warm regards,
Marcia Jaffe and the Bali Institute Team
 PO Box 867, Sausalito, CA 94966 USA • 415.331.7552 • info@baliinstitute.org

Program Registration Form

Participant Information:

Name Date:
Address
City State/Province Zip
Country Day phone Evening phone
Mobile phone Gender Date of Birth
Roommate preference (if known)

Do you require any special assistance during the gathering?

How did you find out about this Bali Institute program?

Program Information: Please indicate the dates and title of the workshop you will be attending:
Dates:
Title:

Registration Payment and Process:

Payment is due upon registering for the program. Registration fees include accommodations
for the duration of the program, airport transfers if arriving/departing on exact program
beginning/ending dates, all program activities and events, meals as specified for your program,
and basic medical services (A detailed description of these services will is included below).
Registration fees DO NOT include airfare, visa costs upon entering Bali, (approximately $25 USD
with US Passports and many other countries), items of a personal nature (telephone, laundry,
or any incidentals), tourist activities, and any meals not covered by your program fees.

Program Fee (Please indicate total)

Single Hotel Supplement ($350 for participants who want single occupancy rooms)

Total Payment Amount Please indicate payment method: ___Check ___Paypal

You may complete payment on-line for all registration fees through Paypal. Sign on to PayPal.com
and use the "Send Money" feature and submit payment to info@baliinstitute (you do not need to
have a PayPal account). For Paypal payments please calculate and add an additional 3% handling fee
for your program, and include that with your total payment. If you are mailing your payment, please
send a check to the Bali Institute, PO Box 867, Sausalito, CA 94966. Please note that your
registration is not complete until we have received your payment, registration, medical and terms
and conditions forms.
 Terms & Conditions

Accommodations and Single Supplements

Beautiful Balinese hotels have been carefully selected for your stay in Ubud, Bali. Participants will have a
roommate unless a single supplement accommodation has been indicated.
Cancellation Policy:
Cancellations must be received by the Bali Institute in writing to P.O. Box 867, Sausalito, CA 94966.
Refunds will be based on the day written notification is received. Regardless of cause, cancellations
result in additional administrative and processing costs, record adjustments, refund checks and other
fees. The following penalties will apply on any cancellation handled by the Bali Institute:
Minimum non-refundable cancellation fee: $500
31-90 days prior to departure: Lose 50% of registration payment
0-30 days: Lose 100% of registration payment
Fees are transferable to other parties or can be credited to a future Bali Institute Program within one
year of cancellation.
Cancellation Insurance
Bali Institute is not responsible if your trip is cancelled for any reason, or for such expenses as airline
cancellation fees, visa fees, vaccinations, purchases of clothing and equipment for the conference or
other expenses. We strongly urge that you consider taking out insurance, which may protect you in the
event of unforeseen cancellations. For medical information on Indonesia contact the Centers for Disease
Control at http://www.cdc.gov/travel/. For travel advisories issued by the U.S. government go to
http://www.travel.state.gov/.
Passports and Visas
Indonesia requires that all those seeking entry into the country have a passport that is valid for
at least six months beyond your stay in Indonesia. Indonesia allows those holding passports
from many countries, including the U.S., to obtain a visa when entering Indonesia for a fee of
approximately US$25. In many countries, a visa must be obtained before arriving in Indonesia. It is the
responsibility of each traveler to determine his or her need to obtain an Indonesian visa in advance.
Responsibilities
Bali Institute for Global Renewal and all sponsoring organizations, booking agencies, their staffs and
agents act only as agents for the suppliers in regard to travel, whether by airplane, motor coach, motor
car, railroad or boat, and assume no liability for injury, damage, loss, accident, delay or irregularity which
may be occasioned either by reason of defect or of any company or person engaged in conveying the
passenger, or in carrying out the arrangements for the trip. They accept no responsibility for losses or
additional expenses due to delays or changes in air or other services, sickness, weather, strike, war,
terrorism, quarantine, force majeure or other causes. The right is reserved to substitute
accommodations of similar or better quality for those indicated. The issuance and acceptance of voucher
or ticket and/or payment and/or written acceptance of these terms and conditions shall be deemed to
be consent to the above conditions. In the event of a dispute, it is agreed that litigation will not be
initiated by any of the parties but will be settled by negotiation between the parties or by mediation.

I accept the above conditions. Date

Signature Print Name

 Participant Medical Profile

Name (please print) __________________________________________

The Gathering in Bali will include some modest physical activity and risk. The sidewalks and walking
paths in Bali, for example, include uneven surfaces and steps. The level of participation in any of our
workshops or programs is at all times completely up to the individual and any risks must be assumed by
each traveler. By giving the Bali Institute for Global Renewal the registration fee and signing below, you
are certifying that you do not have any physical or other condition that would create a hazard for
yourself or other travelers. It is essential that Bali Institute for Global Renewal be informed in writing
below of any medical condition you might have which requires regular treatment or which may be
affected by physical activity, heat, or other natural phenomenon, or particular foods. This information is
kept confidential and is available only to leadership.

1.) Do you have any limitations to participating in normal group activities (i.e. walking, climbing steps)?
____Yes ____No (If yes, identify and explain)

2.) Do you have any allergies or reactions to medication? ____Yes ____No (If yes, identify and explain:)
_____________________________________________________________________________

3.) What prescribed medications, if any, are you currently taking and for what condition?

4.) Are you currently under the care of a medical professional for any condition that we should be
aware of? ____ Yes ____No (If yes, a medical release must be provided by your doctor.)

Person who will be available to contact in case of an emergency:

Name:________________________________________________________________________

Relationship:___________________________________________________________________

Phone:_________________________________ Email: _________________________________

RELEASE OF LIABILITY

I understand that parts of this program may be physically and/or emotionally demanding. I affirm that my
health is good, and that I am not under a physician’s care for any undisclosed condition that bears upon
my fitness or ability to participate in activities. I recognize the inherent risk of injury or disability in
activities. I understand that each participant must assume the risk of physical injury that could result
from any of the activities. I understand that a participant may choose not to participate in any of the
activities. I release Bali Institute for Global Renewal, its staff, supporting and sponsoring organization and
their staffs from all liability for any injury or tort, implied or otherwise, to me from participation in the
Bali Institute program.

Traveler’s
Signature________________________________________________________Date:__________
 About the Ubud Medical Clinic Services

Following are the medical services, benefits and coverage available with your program.

Benefits:

1. Ubud Clinic covers medical expenses for outpatient medical services only.
2. Ubud Clinic includes:
• 24-hour emergency assistance
• 24-hour medical consultation (clinic or hotel visit or by phone)
• 24-hour ambulance service
• 24-hour pharmacy
• Dentist assistance
• Laboratory services
• X-ray services
4. Outpatient medical assistance coverage is for the period of your Bali Institute program.
5. Medical assistance will be provided at the Ubud Medical Clinic in Ubud

6. If a person needs further examination or consultation that can’t be provided in the Ubud Clinic,
Ubud Clinic will organize the examination at their associate hospital. Ubud Clinic will pay the first
500,000 rupiah (approximately US$50.00) of the total medical expenses of this exam. The rest
of the medical expenses will be patient responsibility.

Not covered by this medical plan:

1. Outpatient and inpatient treatments not provided by Ubud Clinic

2. All types of alternative medicines (acupuncture, herbal medicines, etc.)
3. All types of chronic diseases (i.e. heart failure, kidney failure, liver problems,
hypertensions, etc.)
4. Any medical assistance for cosmetic purposes
5. Congenital conditions
6. Birth control, treatment of impotence, sterilization, abortion
7. Hazardous or professional sports
8. Intentionally self-inflicted injury, suicide, abuse of alcohol, drug addiction, or STDs
9. Prosthesis, orthotic devices, or corrective devices