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Participation form - Retreats
Welcome to Osho Meditation retreat at Osho Niranjana.
Please fill in the entire form so that we do all the formalities up front.
Call us at 619 736 3378 for clarifications. Reservation is confirmed when payment is received.
Retreat
Retreat:
Select a retreat from the list.
For weekend retreats - Select a date you will like to participate.
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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 been at this center before this 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
Agreement
I agree to defend, indemnify and hold Osho Niranjana - Meditation center, 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 Niranjana - Meditation Center, 14945 Ranch Creek Ln, Valley Center, CA 92082, and to reimburse Osho Niranjana - Meditation Center for any such incurred expenses.
Required
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 NIRANJANA 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 NIRANJANA may use and/or reproduce such photographs and recordings. I hereby release OSHO NIRANJANA, 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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