Application form: Nirodha's retreat 23.-28.1.2016
Please fill in all fields in English.
Write "no" if you don't have any comments. You can use the "TAB" key to move to the next field.
All personal information submitted in this form is strictly confidential and will be available only to the teacher and some of the organizers on a need to know basis. All related material will be destroyed after the retreat.
When did you pay the reservation fee 30 euros on Nirodha's account?
Please double check that your email address is correct!
Country (if not Finland)
Please note that because of limited resources, we are not able to help with visa applications in any way.
Do you speak Finnish?
Not that much, but I understand spoken Finnish
Not that much, but I understand written Finnish
Not at all
Where did you first hear about this retreat?
Please check all fields that apply. Your answer is important because it helps us to develop our advertising in the future.
Nirodha's mailing list.
Nirodha’s web page.
Nirodha’s Facebook page/event or Facebook feed.
Web discussion forum.
Ad on a physical bulletin board.
Heard from a friend.
Announcement at a Nirodha event.
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