Meeting the Rock Retreat - Registration 2016
Meditation Week with Rock Climbing
24.9 - 1.10.2016, Bärenschützklamm, Mixnitz, Austria
First Name *
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Last Name *
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Gender
Mobile Number *
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E-mail Address: *
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Address
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Age
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Spoken languages
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Emergency name and contact info *
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Organisational Details
I want to stay *
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Do you want to have vegetarian or vegan meals
Do you have any dietary needs or food allergies you would like to communicate?
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How do you plan to come to the retreat?
If you DO NOT wish to receive infrequent e-mails from Dharma Nature, check this box
How did you hear about this event?
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On Climbing
All of the following information will be kept confidential.
Please describe your climbing experience. Do you have any physiological condition or past injury relevant for the activities in the retreat?
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Do you need assistance obtaining the following equipment:
Climbing shoes really need to fit!
Please indicate your shoe size, if we should help you organizing:
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Climbing shoes really need to fit.
Please indicate your Shoe size, if we should help you organizing:
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On Meditation
All of the following information will be kept confidential.
Please indicate your previous meditation experience with dates and names of teachers.
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Are you currently using any medication? Do you suffer or have you suffered from psychological illness or are you addicted to any intoxicants?
You can also contact us directly about this if you like.
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General
Are there any factors you would like to communicate to us concerning your current personal situation?
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I undertake to follow the guidelines of the Meeting the Rock Retreat, and I will take full responsibility for myself and my actions during participation in any activities of the retreat. *
Please write your name below. We will ask you for your siganture in the beginning of the Retreat.
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