Bringing Mindfulness Home: Retreat Application
Email *
Name *
I identify as... *
Preferred Personal pronouns *
Address including city, state/province, and zip/postal code *
Phone number *
How would you like to pay?
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Please share any physical or emotional needs that it would be helpful for us to know/you want us to know about.
Do you have readily available access to a reliable internet connection? *
Previous mindfulness and retreat experience (for example: teachers, years practicing, # of retreats) *
Please describe your current mindfulness practice or experience with mindfulness/meditation *
What would make this retreat successful for you? *
How did you hear about us?
Is there anything else you'd like to add or share. Questions? Issues? Concerns? Jokes? Just nice things you want to say? :)
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