Retreat Registration – Howard Cohn, September 26-27 2020
This is an online silent meditation retreat. Registration is on a first-come basis. When the retreat is full, registered names will be placed on a waiting list.

Within a few minutes after submitting this registration you will receive an email confirming that we have received your form, with a copy of your responses attached. You may edit your responses at any time after submitting the form using the ‘Edit Response’ link in your email confirmation. Prior to the retreat you will receive instructions on how to connect with Zoom.

Your email address will be added to a mailing list for use only by Prescott Insight Meditation for future retreat invitations. We will never share your address and personal information with any other organizations or individuals.
Email address *
First Name *
Last Name
Phone
example: 123-456-7890
City and State
Are there any additional comments or information you would like to convey to the teacher or retreat manager?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy