Community of Mindfulness in Israel Winter Retreat 19-21/12/2019 Registration from Thursday at 2pm, activities start at 4pm. Ending on Saturday at 5 p.m.
When: 19-21/2019
Where: Neve Shalom Wahat Al Salam
Contact us at: retreats.mindfulness.israel@gmail.com
Please fill out for each participant:
Name *
Your answer
Surname *
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Email *
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Address
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Phone Number *
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Year of Birth
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Gender *
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Need translation during the retreat?
Do you have previous experience?
Note: These questions are for organizational purposes. Previous experience is not necessary
Rooms & Prices *
Payment is to cover expenses. You will be able to show your gratitude to the teacher by offering a contribution according to the generosity of your heart (Dana). Prices include 3 vegetarian / vegan meals a day. Bed linen and towels are provided. We wish to allow participation for people who cannot afford paying full price, for discount application please write to retreats.mindfulness.israel@gmail.com
Invitation to support our scholarships fund
We try to allow participation for those who cannot afford paying full price. We will appreciate other participants contribution:
Payment (Please wait for an email confirming that we've received your form before proceeding with the payment): *
In order to confirm your participation, please submit the payment by a bank transfer or a deposit to the following bank account: "להיות ביחד כאחד", Bank Leumi Beit Hakerem Branch (branch no. 903), Account no. 1633785. Please send a copy of the payment notification to retreats.mindfulness.israel@gmail.com
I would like to share a room with:
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Dietary, Medical and special requests
Meals are vegan / vegetarian
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Comments
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Emergency Contact *
(Name)
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Phone Number to Call in Case of Emergency *
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Disclaimer of Responsibility and cancellation policy: *
I/We, the undersigned, hereafter referred to as the participant/s, acknowledge that the retreat organizers are not in any way responsible for the health of participant/s, theft, damage or harm that might occur to the participant/s during the retreat, at the venue, or on the way there or back. In case of cancellation, payment will be refunded after a deduction, as follows: until 18/11/2019 - full refund, from 19/11 until 12/12/2019 - 50% refund.
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