JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Most Important Thing
- Spring 2023 Retreat
Friday 12th, Saturday 13th and Sunday 14th May 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Please provide your first name and surname.
Your answer
Telephone Number
*
Your answer
Emergency Contact Name
*
Please provide the first name and surname of a person we could contact, if there is an emergency whilst you are on the retreat.
Your answer
Emergency Contact Telephone Number
*
Please provide the telephone number for your emergency contact named above.
Your answer
Location - Town or City
*
Your answer
Location - County or State
*
Your answer
Participation
*
3 days in person & evenings in person
3 days in person & evenings online
3 evenings online
Day & Evening Participation - What price will you pay?
£140
£160
£180
Request Reduced Price
Request Full Bursary
Clear selection
Evening Participation Only - What price will you pay?
£45
£50
£55
Request Reduced Price
Request Full Bursary
Clear selection
Payment Options
*
Pay in Full
Pay £50 deposit for day & evening participation with final payment by 1st May
Pay £50 deposit for day & evening participation & then in instalments with final payment by 1st May
Pay £20 deposit for evening only participation with final payment by 1st May
Extra Information
Anything extra you may want to share with us, e.g. difficulties with movement, hearing, sight, sitting for lengthy periods
Your answer
Sangha?
*
Which Sangha are you connected with?
Nothing Extra
Nothing Missing
Nothing Special
Nothing More
Just This - attend more than one 'Nothing'
Other
How would you like to sit?
*
Floor
Chair
Choice of both
Mailing List
*
Option 1 - Already receive emails
Option 2 - Would like to be on mailing list
Option 3 - Remove from mailing list
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report