Wilderness Meditation Immersion #1 Registration, July 25-29th
Please use this form to confirm your reservation at this one-of-a-kind nature retreat.
Email address *
Full legal name *
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Chosen Name/Nickname
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Phone Number
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Mailing Address
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Birthdate
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Gender Identification
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What do you hope to receive from this retreat at this time? *
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Please share any previous experience with meditation/mindfulness practice and history with camping/backpacking. (encouraged but not required) *
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Do you have any condition or history of physical or mental illness or limitations that may interfere with participating in the retreat? Please share honestly below. *
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Do you have any dietary restrictions or preferences? Please share in detail below. *
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Do you have any needs or requests that could help you feel more supported on this retreat? *
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I understand that I am responsible for my safety and well-being during the program. I understand that being in the wilderness has risks, and I need to come prepared. I agree to participate in a culture of mutual respect and kindness for other attendees, the program hosts, and the living beings in the ecology. *
TO RESERVE YOUR SPACE, please send full donation via Paypal to naturesheartretreats@gmail.com (use "friends and family" to fees). Thank you! We look forward to see you soon!
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