Retreat Registration for Spirit of Service
An Insight Meditation Retreat with Dharma Teacher David Chernikoff
Sunday, August 18 - Thursday, August 22, 2024

Winston-Salem Dharma Community is hosting a residential retreat at St. Francis Springs Prayer Center in Stoneville, NC. The retreat starts at 5pm Sunday, August 18, and ends after lunch on Thursday, August 22.

Registration Fee (includes lodging and all meals):
Room type                                                        single occupancy                 double occupancy
Main building - 18 rooms                                   $650                                      $375 per person
Cottage - 2 five-bedroom cottages                  $700                                      $400 per person
Hermitage - 3 one-bedroom hermitages         $700                                      $400 per person

Scholarships are available. Requests are to be made to the Retreat Organizing Committee at wsdharmacommunity@gmail.com

A deposit of 50% of the registration fee will reserve your space, with payment in full due by July 8th. Deposit minus $20 will be returned with a cancellation prior to July 7th. After July 7th, deposits will not be refunded if space cannot be filled by another registrant.

Electronic payments accepted via Zelle, Venmo, and Google Pay.
     Paying by Zelle search for "wsdharmacommunity@gmail.com"
     Paying by Venmo search for "Wendy Farrow @WS-Dharma"
     Paying by Google Pay search for "Winston-Salem Dharma Community wsdharmacommunity@gmail.com"

If paying by check or money order, make it payable to "Wendy Farrow/WSDC" and mail to:
           2878 Friedberg Church Road
           Winston-Salem, North Carolina 27127

To submit your registration form, please provide the information below and click on "Submit."  

For more information about Winston-Salem Dharma Community, please visit https://www.wsdharmacommunity.org.  

For more information about St. Francis Springs Prayer Center, please visit  https://www.stfrancis.today/.

For more information about David Chernikoff, please visit www.davidchernikoff.com.

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Email *
First name *
Last name *
Liability Waiver. Please view this link. By checking the box below and proceeding with registration you are digitally signing the Insight Meditation Community of Colorado Release of Liability Waiver Form *
Required
If you have a pronoun preference, please indicate it below
Street Address *
City *
State *
Zip code *
Phone number *
Dietary Acknowledgement - All meals served will be vegetarian *
Required
Emergency Contact *
In the event of an emergency please provide the name of your emergency contact
Emergency Contact continued *
Phone number and relationship of emergency contact
Roommate(s) Request
Roommate requests will be honored based on the availability of rooms. If you and another person have agreed to share a room at this retreat, please provide their name and email address in this space (and remind them to do the same when they register).
Lodging Preference- 1st choice *
For shared room requests, please choose the option appropriate to your gender identity. Rooms will be assigned based on shared gender identity (except when persons of different gender identity have agreed to share a room). If there are any special circumstances relating to your room assignment, please share them with us in the Additional Information section below
Lodging Preference- 2nd choice *
For shared room requests, please choose the option appropriate to your gender identity. Rooms will be assigned based on shared gender identity (except when persons of different gender identity have agreed to share a room). If there are any special circumstances relating to your room assignment, please share them with us in the Additional Information section below
Is this your first insight meditation retreat? *
Do you have a Sangha or meditation community that you frequent? Provide the name and location below:
Payment
Method of Payment *
Additional information you may need to provide
Any additional information (ie dietary or lodging restrictions) you want to share. Questions about the retreat? Use this space. If you prefer, email directly to: wsdharmacommunity@gmail.com
A copy of your responses will be emailed to the address you provided.
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