Participation form - Retreats
Please fill in the entire form so that we do all the formalities up front.
Call us at 760.407.6746 for clarifications. Reservation is confirmed when payment is received.
Retreat/Visit *
Select an item from the list.
For weekend retreats/visitors- Select a date
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Personal Information
How many in this registration? (only for families) *
Please provide names of all participants in the Notes below
Legal Name *
Your answer
Sannyas Name
Your answer
Phone *
Your answer
Address 1 *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Do you have food allergies? *
If you answered yes to above question, list your allergy.
Your answer
Have you participated in an Osho Meditation Retreat? *
Accommodation *
Limited accommodations are available at the center, available on first come first serve basis. We will confirm you if a space is available for you.
Are you flying in? If so, please give us tentative date/times
If you are flying in please use San Diego Airport. LAX is very far! Rides are not guaranteed, but we will try to coordinate with other friends.
Your answer
Important!
If you have a medical or physical condition that lmits your activity or that you feel we should be aware of, please ensure this is disclosed during your registration
Emergency contact
Please provide us with a person who we may contact in the case of emergency
Name *
Your answer
Phone number *
Your answer
Event Agreement and Liability
Dates of participation *
Check all that apply
Required
Acknowledgement
I agree to defend, indemnify and hold Osho Nirvana, its officers, employees, agents and volunteers harmless from and against any and all liabilities, loss, expense (including reasonable attorney's fees), or claims for injury or damages arising as a result of my attendance of the above at Osho Nirvana - Meditation Center, 14945 Ranch Creek Ln, Valley Center, CA 92082, and to reimburse Osho Nirvana for any such incurred expenses.
Photo/Video Release
For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby consent to the photographing of myself and the recording of my voice and the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for informational purposes I understand that the term “photograph” as used herein encompasses both still photographs and motion picture footage. I further consent to the reproduction and/or authorization by OSHO NIRVANA to reproduce and used said photographs and recordings of my voice, only for informational purposes. Further, I understand that others, with or without consent of OSHO NIRVANA may use and/or reproduce such photographs and recordings. I hereby release OSHO NIRVANA, and any of its associated staff, from all claims of every kind on account of such use.
Select Today's date *
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Signature *
Type your Name. This will serve as electronic signature. Please understand that until you have paid for your participation, your reservation is not confirmed.
Your answer
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