"Re-centering: listening for your inner self" Retreat 2019 Registration
Open Circle & CVC Retreat – Friday evening (5:30pm), January 11 – Sunday afternoon January 13 (returning by 4pm)

Spaces are limited.
Your Spot is reserved when you do both of: Step1 - Fill in this form AND Step 2 - Submit your non-refundable deposit.

Last name, First name *
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Faculty *
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Student # *
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E-mail address *
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Phone Number *
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I am a... *
Would you like to be added to the Weekly Open Circle e-mail list? *
How did you hear about this Retreat? *
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Have you participated in any other Open Circle or Community Volunteer Circles activities? If so, which ones? *
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Age *
Current Address *
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Emergency Contact (include phone #) *
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Dietary Requirements or Food allergies *
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Do you have a car with which you can provide transportation for the retreat? *
Required
If you have a car, how many people (including yourself) can you provide transportation for?
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If you have a car to use, what is the colour and license plate (or other describing features), to help us find you when we meet to leave from the student centre?
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Are you available to leave at 5:30pm on Friday, January 11? *
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Can you commit to attending the entire weekend retreat from Friday evening, Jan. 11 to Sunday afternoon, Jan. 13 (returning to Hamilton by 4 pm)? *
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Payment information: Cost includes transportation (from McMaster to retreat centre), accommodations, food-vegetarian options, & activities/materials. Which fee will you be paying? *
How will you submit your $50 non-refundable deposit? *
Method of payment for $50 Non-Refundable Deposit *
When will you submit your $50 non-refundable deposit? (payment needs to be received to reserve your spot) *
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ACCOMMODATIONS: you will be sharing a room (that has approximately 6 bunk beds). If you have a preference of who you would like to share with, please indicate the name(s):
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To help with your roommate choices for those who have no roommate preference, please select as many of these as apply to you (Note: Morning schedule is: 7:30am - Optional Morning Meditation/Stretching; 8:30am - Breakfast; 9:00 Breakfast cleanup; 9:30am Reflection and group activities)
Open Circle photo permission: I give Open Circle and its supporting bodies permission to publish, use and republish photograph(s) of me, or in which I may be included with others. Such publication may indicate the name of the city or place where the photograph was taken or the area where I live in. I understand my street address will not be published in connection with the photograph(s).I hereby waive any right to inspect or approve the finished product(s). The photograph shall be used for the purpose of promoting Open Circle and its programs and may appear in newsletters, annual reports, brochures, posters, website pages or other forms of literature, including electronic and print. I release Open Circle and its supporting bodies from any and all claims arising out of this use of the said photograph(s).I understand that I may withdraw this consent at any time by forwarding such request, in writing, to Open Circle. *
Required
Open Circle Group Guidelines
Retreat participants are asked to follow these guidelines. When we meet, you can add guidelines that are important to you.
• Give and receive welcome. People learn best in hospitable spaces. In this circle we support each other’s learning by giving and receiving hospitality.
• Respect: Listen to each other with openness and curiosity, being respectful of different ideas and opinions while open to learn from everyone.
• No fixing, saving, advising or correcting each other. This is one of the hardest guidelines for those of us who like to “help.” But it is vital to welcoming the soul.
• Set aside reaction and judgment and turn towards wonder and compassionate inquiry. Ask yourself, “I wonder why they feel/think this way?” or “I wonder what my reaction teaches me about myself?” Set aside judgment to listen to others—and to yourself—more deeply.
• Speak your truth in ways that respect other people’s truth. Our views of reality may differ, but speaking one’s truth in this circle does not mean interpreting, correcting or debating what others say. Speak from your center to the center of the circle, using “I” statements, trusting people to do their own sifting and growth.
• Creating inclusive space for diversity. We work together to hold safe space for all forms of diversity, including ethnicity, religion, gender identity and expression, sexual orientation, ability, and socio-economic status.
• Freedom to share or to pass. Be here with your listening as well as your speaking.
• Be present as fully as possible. Turn off phones and put away technology that is not being used for our circle.
• Trust and learn from the silence. Silence is a gift in our noisy world, and a way of knowing in itself. Treat silence as a member of the group. After someone has spoken, take time to reflect without immediately filling the space with words.
• Observe deep confidentiality. Safety is built when we can trust that our words and stories will remain with the people with whom we choose to share, and are not repeated to others without our permission.
I will respect and intend to follow these Open Circle Group Guidelines as I participate in the retreat. *
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Do you have any other comments, questions, or concerns?
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