Dhamma Dena Work Retreat | February 14-18, 2020
Thank you for taking the time to answer these questions. Please note that your registration will be confirmed when we receive your payment.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Pronoun
Street Address *
City, State, Zip *
Phone number *
Date of birth *
MM
/
DD
/
YYYY
Gender identification
Clear selection
Arrival Date *
MM
/
DD
/
YYYY
Check here if you would like to arrive a day early, or stay a day over to help set up / clean up the retreat.
Volunteer days are a minimum of 4 hours of work exchange. Food and board provided and no fees charged. Thank you!
Departure Date *
MM
/
DD
/
YYYY
Ride Needed from Palm Springs Airport? (Arrival) $30 Fee
Please select your flight arrival time, with AM or PM
MM
/
DD
Time
:
What is your Arrival Airline & Flight Number?
Ride Needed to Palm Springs Airport? (Departure) $30 Fee
Please select your flight arrival time, with AM or PM
MM
/
DD
Time
:
What is your Departure Airline & Flight Number?
Are you able to offer a ride, if so, to how many people and from where?
We will make a group email with participants contact information in order to connect people offering and in need of rides. People will be able to coordinate rides on their own.  
Are you in need of a ride, if so, from where?
We will make a group email with participants contact information in order to connect people offering and in need of rides. People will be able to coordinate rides on their own.  
Special Dietary Needs
Please note that we will be offering gluten-free options for all meals.
Do you have any special needs for housing, or for your health?
Have you attended a retreat at Dhamma Dena before? *
Are you new to Vipassana meditation? *
Where did you hear about the retreat? *
Required
Payment choices *
No one is turned away for lack of funds and Dhamma Dena operates on a shoe-string budget. If you are able to pay more in order to cover the costs of someone who is not able to, please do. <3
Required
Food Dāna (Independent of Dāna for staff and teacher) *
Dāna (दान) is a Sanskrit and Pali word for the virtue of generosity. The Buddha said the teachings were priceless, more valuable than all the jewels in the kingdom and so are offered freely to all. This has amazingly been sustained for 2,600 years. Honoring this tradition, the teachings at Dhamma Dena continue to be offered freely. Teacher support is provided by voluntary donations at the end of a retreat or your time here at the center. These offerings are often the only source of teachers’ income. Registration fees only cover the cost of sustaining buildings and food.
Do you have any special needs we should know about, and/or is there anything else you would like us to know?
NOTE: Your registration is not confirmed without payment or hardship deferment.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms