Early Spring Retreat: Four Foundations of Mindfulness by Ven. Master Jiru
Retreat Parking Direction
First Name *
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Last Name *
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Email Address *
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You are not required to attend the whole retreat; and you are more than welcome to join in the middle of sessions without disturbing others, providing your schedule to the retreat is appreciated.
Morning
Afternoon
Evening
Friday 3/1
Saturday 3/2
Sunday 3/3
Can you bring your own meditation cushion and towel? *
Are you going to drive? *
If answered yes to the previous question, do you need parking information around event building?
Will you be willing to donate $5/meal to cover the catering we prepare? *
If you answered yes to the previous question, which payment methods do you prefer?
Do you have, or have you ever suffered from anxiety, panic attacks, manic depression, mental illness, etc.? *
Your answer
Please provide any other information to take into consideration:
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Waiver of liability *
It is fully understood that this retreat is organized and conducted for the benefit of participants like myself. I hereby waive and indemnify Buddhist Study Association at Indiana University and retreat organizers from any and all liabilities during my attendance of this retreat. I certify that the information given in this application is true and complete. I accept the terms above freely and voluntarily by selecting the "I accept" box.
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Signature *
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Date *
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