Luminous Ground 2018 Spring Retreat with Paul Baranowski, May 25 - 30, 2018
Please fill out this registration form to attend the retreat. We will contact you within a few days of your application to confirm your registration. In order to reserve your spot, full payment is required. Payment can be made on our Eventbrite page: https://www.eventbrite.com/e/luminous-ground-spring-retreat-tickets-42212677254

For more information on the retreat, see our retreat page: http://luminousground.ca/event/2018-spring-meditation-retreat. If you have any questions/concerns you can email us at retreat@luminousground.ca

Getting to the retreat:
There is public transportation from Toronto to the retreat center. Luminous Ground won't be able to provide carpooling services for this retreat. If you need assistance with getting there, please let us know.

Email address *
Cannot pre-fill email address.
Email address *
Cannot pre-fill email address.
Personal Information
Full Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Address *
Your answer
Emergency Contact *
Please provide the name, relation, email and phone number of a person to contact in case of emergency
Your answer
Email address *
Cannot pre-fill email address.
Retreat Accommodation and Meals
Retreat Options *
Gender *
For room arrangements
Required
Room arrangements will be assigned, but please indicate any room sharing preferences, we may be able to accommodate them.
Please note: rooms are ordinarily assigned based on gender. Depending on attendance, we may or may not be able to accommodate couples who want to share a room. We might be able to accommodate a single occupancy with extra charge based on availability. This additional fee is charged by the retreat centre. We will contact you if you indicate that you wish to have a single room.
Your answer
If you have mobility concerns or require an accessible room please indicate here.
Your answer
Do you snore or make unusual grunting and/or keening noises in your sleep?
Your answer
Dietary Requirements or Allergies *
All food will be vegetarian unless you indicate your dietary choice.
Required
Email address *
Cannot pre-fill email address.
Meditation Experience
Have you attended a meditation retreat before? *
Required
Have you practiced meditation before? *
Required
Do you practice meditation regularly? *
Required
Do you practice meditation with a group? If so, which one? *
Please describe your intention for this retreat. What are you looking for and what would you like to get out of it? *
Your answer
Email address *
Cannot pre-fill email address.
Other Information
Please share any physical or mental health concerns you wish the retreat organizers to be aware of: *
If you prefer you can also contact the retreat organizers directly by an email at register@luminousground.ca
Your answer
Are you receiving therapy or treatment for your mental health? *
Please share about your experience or progress with the treatment or therapy for your mental health
Your answer
Any further comments or things you would want us to know?
Your answer
How did you hear about the retreat? *
Your answer
Email address *
Cannot pre-fill email address.
Getting to the retreat
There is public transportation from Toronto to the retreat center.
Luminous Ground will not be providing a carpooling service to this retreat *
Required
Get link
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms