Tara Rokpa Centre Booking Form
TRC is a retreat centre in the Groot Marico District, North West Province in South Africa: https://goo.gl/6cd06e

Please complete the online booking form if you would like to attend a retreat or event at the Centre.
You will need to fill in one form per retreat, and one per person so that the information is correctly recorded.
Information about payment is in the final section of the form.

To book the August Retreats (Fierce Equanimity, Power of Compassion and Drupon Rinpoche), and the December Retreats with Donal, please follow this link: https://goo.gl/forms/kp3VByarzR3Tc97N2

Name of Retreat
First Name
Your answer
Surname
Your answer
Email address
Your answer
Gender
Age
Cellphone number
Your answer
Physical Address
Your answer
Emergency contact person (name and phone number)
Your answer
Room Preference
Required
If you are sharing, please state whether you would like a twin or double room, and who you would like to share with?
Your answer
Any medical conditions or dietary requirements?
Your answer
Car Pooling
How did you hear about this retreat? (Tick several if relevant)
Other information (e.g. arrival/departure dates for retreats with various options)
Your answer
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