Community of Mindfulness in Israel Spring Retreat with Dharma Teacher Chan Hao
When: 22-26/04/2020
Where: Neve Shalom Wahat Al Salam - Guest House Neve Shalom
Contact us at:
Please fill out for each participant:
First Name *
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Last Name *
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Email Address *
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Telephone Number *
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Year of Birth
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Gender *
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Need translation during the retreat?
Do you have previous experience? *
Note: These questions are for organizational purposes. Previous experience is not necessary
Rooms & Prices *
Payment is to cover expenses. You will be able to show your gratitude to the teacher by offering a contribution according to the generosity of your heart (Dana). Prices include 3 vegetarian / vegan meals a day. Bed linen and towels are provided. We wish to allow participation for people who cannot afford paying full price, for discount application please write to
Invitation to support our scholarships fund
We try to allow participation for those who cannot afford paying full price. We will appreciate other participants contribution:
Payment (Please wait for an email confirming we've received your form before proceeding with payment): *
Payment options In order to confirm your participation, please submit the payment by bank transfer or by BIT. bank account details: "להיות ביחד כאחד", Bank Leumi branch no. 903, Account no. 1633785. Please send a copy of the payment notification to *
I would like to share a room with:
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Dietary, Medical and special requests
Meals are vegan / vegetarian
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Emergency Contact name and phone number *
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Disclaimer of Responsibility and cancellation policy: *
I, the undersigned, hereafter referred to as the participant, acknowledge that the retreat organizers are not in any way responsible for the health of participant, theft, damage or harm that might occur to the participant during the retreat, at the venue, or on the way there or back. In case of cancellation, payment will be refunded after a deduction, as follows: until 21/03/2020 - full refund, from 22/03/2020 until 15/04/2020 - 50% refund.
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