The next dates are: April 21 - 23, 2017 in Novato California.More information on the venue can be found here: http://www.anubhutiretreatcenter.org/
To participate in this retreat, the following conditions must be met:
1. You are psychologically, emotionally, and generally physically healthy such that you are able to safely participate in this retreat2. Not currently or previously have experienced suicidal thoughts, any form of self-harm, or thoughts of hurting others or pose any kind of danger to yourself or others3. Not have been previously hospitalized for mental health reasons4. Have more than 1-year of recovery from any substance abuse involving legal or illegal substances5. Able to independently manage and administer any required medically prescribed medications6. Are able to manage any allergies to food or otherwise7. If you have ever had an eating disorder, you are stable in recovery8. Understand that this is an educational retreat and does not constitute medical, psychiatric, or psychological treatment9. Understand that the retreat is a drug-free environment. No drugs or substances of abuse are permitted without a medical prescription and usage is as prescribed only
By filling out this form and continuing with the application process you certify that you meet the above conditions. Please note that a follow-up interview may occur prior to your admittance into the retreat.
Limits of Confidentiality of Information Provided:If any of the information you provide to us leads us to believe you may be in danger of harming yourself, or someone else, or that as a minor under 18 years of age, that someone is harming you, as in physical or sexual abuse, we will contact the appropriate authorities such as the police department or Child Protective Services in addition to your family as appropriate to ensure your safety.
Resources if you need support:1. Emergency: 9112. Teen Depression Hotline - crisistextline.org3. TEEN LINE | Teens Helping Teens - Connect, talk, get help! - https://teenlineonline.org/4. Suicide Hotline: 1-800-SUICIDE
If you are filling out this form for someone else, please explain below.
***IMPORTANT: If you are under the age of 18 years old, a parent or guardian must fill out the youth admittance permission form, which we will sent out closer to the retreat dates.