Gainesville Retreat Registration 2018
Complete one form per person and click the Submit button at the bottom of the page.
Last Name *
Your answer
First Name: *
Your answer
Email *
Your answer
Street Address *
Your answer
City *
Your answer
State/Province *
Your answer
Zip or Postal Code *
Your answer
Country
Your answer
Cell phone *
Your answer
Age *
Your answer
Gender *
Your answer
How long have you been practicing meditation? *
Choose the answer that best describes it
Do you currently practice meditation using the "Six Rs" methodology? *
Required
Briefly describe your meditation experience. *
Your answer
Choose your Housing Option *
Romantic partners and genders will be housed separately. Please contact Rachael O'Brien before choosing the "Rustic" Cabin option.
How will you arrive? *
Required
Dietary Restrictions (all meals are vegetarian) *
Other Dietary Concers *
Your answer
Are you mobility-impaired and rely on support?
Check if applicable
Do you have special medical needs?
A retreat manager will follow up to review your special needs.
Your answer
Questions?
Contact Rachael O'Brien at GainesvilleTWIMretreat@gmail.com, or enter your comments below.
Your answer
Payment
Payment may only be accepted by personal check or money order. Rachael O'Brien will be in touch via email to provide payment instructions.
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