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Green Gulch Daylong Registration
February 29, 2020
Green Gulch Zen Center
Muir Beach,, CA
Name *
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Gender *
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Birthdate
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Email *
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Phone number *
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Emergency Contact (name and phone) *
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Please briefly describe your background with yoga and meditation *
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Payment method *
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Food allergies (lunch will be vegetarian):
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Injuries / physical concerns:
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Participant Agreement: Please not bring any altering substances to the retreat. Learning to relax into silence with a clear mind/body is integral to staying conscious and connected to the internal shifts of healing that are possible on retreat. *
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Liability Agreement: I release Monique Haan from liability, which may arise from any claims by me or any third party in connection with my participation in the retreat. *
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