Personal information
Acem Meditation World Retreat 2021

Please fill in this form as soon as you have registered for the retreat.
This will help us create an even better retreat for you and other participants.
Email address *
Full name *
Your answer
Country of residence *
Your answer
Year of birth *
Your answer
Gender *
Have you learned Acem Meditation? *
If yes, when and where did you learn Acem Meditation?
Your answer
How often do you meditate?
Choose the answer that is closest to your real meditation habits.
Do you have previous experience with Acem retreats?
Your answer
If you want a room close to one or more other participants (a spouse, family member, near friend etc.), indicate their name(s) here, and ask them to indicate your name as well, and we will do our best to satisfy your wish.
Your answer
Preferred language(s) *
For guidance groups - choose one or more of the languages below.
All meals are lacto-vegetarian. Indicate below if you have lactose intolerance or coeliac disease, or if you prefer vegan diet (no milk, honey, etc.). We regret that we are unable to accommodate other dietary needs.
Other information
Your answer
A copy of your responses will be emailed to the address you provided.
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