Retreat Application
"HEALING THE HEART OF THE SOUTH THROUGH THE PRACTICE OF CHOD"

December 13th - 16th, 2018
@ Thomasville Buddhist Center

Email address *
Name *
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Postal Mailing Address *
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Contact Phone Number *
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Race *
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Age *
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Sexual Orientation *
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Gender Pronouns *
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Do you have any accessibility issues would you like to disclose? *
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Having read the retreat description, how do you think you will benefit from this retreat? *
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Why are you interested in this retreat? *
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Are you a Chod practitioner? *
If so, who did you receive instruction from? How long have you been practicing? *
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How do you think this retreat will be challenging for you? *
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What are you looking forward to? *
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