June 1st Art and Dharma at Dhamma Dena Retreat Registration
Thank you for taking the time to answer these questions. Please note that your registration will be confirmed when we receive your deposit.
Email address *
First Name *
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Last Name *
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Pronoun
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Street Address *
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City, State, Zip *
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Phone numbers (list all, indicating cellphone) *
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Date of birth *
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Gender identification
How would you describe your ethnic identity?
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Are you able to offer a ride, if so, to how many people and from where?
We will make a group email with participants contact information in order to connect people offering and in need of rides. People will be able to coordinate rides on their own.
Your answer
Are you in need of a ride, if so, from where?
We will make a group email with participants contact information in order to connect people offering and in need of rides. People will be able to coordinate rides on their own.
Your answer
Special Dietary Needs
Please note that we will be offering gluten-free options for all meals.
Have you attended a retreat at Dhamma Dena before? *
Are you new to Vipassana meditation? *
Where did you hear about the retreat? *
Required
Do you have any special needs we should know about, and/or is there anything else you would like us to know?
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NOTE: Your registration is not confirmed without a deposit
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