Vipassana light @ Pelion18

Demande d'accès en écriture

Vipassana-light Retreat, Hotel Alexandros, Pelion, Greece: June 24-July 3, 2018 (9 nights, 8 full days). Directed by Henk Barendregt and Mirjam Hartkamp. Daily about six hours formal meditation, some working in kitchen, garden or center, daily interviews, going to the beach in afternoon, and evening dhamma talk.Submitting this form indicates the intention to follow the retreat. After admission your payment of 100E deposit validates the registration.

Hotel Alexandros

Family name *

Votre réponse

First name *

Votre réponse

Gender *

Date of birth *

YYYY

Meditation experience or interest *

Votre réponse

Address *

Street & number

Votre réponse

Town *

Votre réponse

Postal code *

Votre réponse

Country *

E.g. NL, B, D, CH, I, UK (like on licence plates)

Votre réponse

Email *

Votre réponse

Mobile phone *

Including country number

Votre réponse

Emergency *

Mobile phone of friend or relative

Votre réponse

Meals *

Alternative diet only if prescribed by docter or dietist

Vegetarian

Vegan

Autre :

Deposit *

Registration is to see whether there is an available place and becomes valid after deposit of 100E (92% refundable up to 30 days before start); for single room 100E extra, which is non refundable.

Agree

Scientific research *

Are you in principle interested to participate in scientific research on meditation? Actual participation can be decided when details of study become known.

Yes

Room type *

Tent 310E, triple 370E, twin 450E, single 590E.

Tent

Triple

Twin

Single

Agreement *

Participant declares: "I register for mentioned period of retreat and have the intention to keep the rules of the retreat as much as possible. I know that I cannot keep the supervisor(s) responsible for my personal development. The supervisor(s) will give their best effort to support the participants to develop mindfulness for the sake of their progress." If you are (or have been) under treatment of a psychologist or psychiatrist or taking psychoactive drugs you discuss with your caretaker and one of the teachers, whether participation is suitable.

Agree

Comments

Votre réponse

Envoyer

N'envoyez jamais de mots de passe via Google Forms.

Ce contenu n'est ni rédigé, ni cautionné par Google. Signaler un cas d'utilisation abusive - Conditions d'utilisation - Clauses additionnelles

Forms