Dhamma Dena Work Retreat Registration
Accessibility Work Retreat with Arinna Weisman
Saturday, May 19 - Thursday, May 24, 2018
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Phone numbers (list all, indicating cellphone) *
Your answer
Date of birth *
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Arrival Date *
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Departure Date *
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Ride Needed from Palm Springs Airport? (Arrival)
Please select your flight arrival time, with AM or PM
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Time
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What is your Arrival Airline & Flight Number?
Your answer
Ride Needed to Palm Springs Airport? (Departure)
Please select your flight arrival time, with AM or PM
MM
/
DD
Time
:
What is your Departure Airline & Flight Number?
Your answer
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?
Your answer
Have you attended a retreat here before? *
Are you new to Vipassana meditation? *
Where did you hear about the retreat? *
Required
Do you have any special skills to contribute to the work projects? Painting, carpentry, plumbing, sewing, landscaping, gourmet chef, etc.
Your answer
Are you in need of any particular support during the retreat?
Your answer
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