Embodied Wisdom and Compassion Insight Meditation and Qigong Retreat
Registration Form
Name *
Gender *
Age *
Address *
Email *
Phone *
Contacts in case of Emergency during the retreat (name, relationship to you, phone and email) *
Dietary Requirements
Other Needs
Transport: Can you offer a lift or would you like a lift?
Note: Reasonable attempts will be made to meet special requirements & lift requests but cannot be guaranteed.
Clear selection
Your vehicle registration if parking at Sangsurya
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