Southern Insight Meditation: 2019 Spring Retreat Registration
This retreat is a 7 day retreat running from 27th Sept to the 4th October, 2019. We are not running the weekend option this time around.
Email address *
Name *
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Address *
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Contact details: Cell phone; Phone *
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Please outline in detail your background in meditation, if any (number and dates of retreats and name of teacher, type of tradition, years experience). *
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Medical History: In order to enable the teacher to provide appropriate guidance and support for you on the gathering, please contact Sarah 027 6693824 if you currently have or in the past have had any of the following. Selecting any category does not mean you will be unable to participate in the retreat. This information is treated as confidential:
Do you require transport to/from the gathering? *
Can you offer someone a ride to/from the gathering? *
Food on the gathering is vegetarian, with a vegan option. For practical reasons, any other diets cannot be catered for unless medically required.
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Vegan Option *
The retreat costs $295 which covers all meals, facility hire, the teacher’s travel expenses, and admin costs. If you are able to, we ask that you pay the full amount, which is the actual cost of your gathering. If your financial circumstances preclude this, please pay between 70% - 100% of cost and Southern Insight will subsidise your retreat by the remainder. Please indicate if you will need to pay less than the full cost, and the amount you are able to pay:
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$50 is payable to complete your registration. You may also pay the full amount for your retreat at this time. The full amount is payable 3 days prior to the retreat by direct credit or bank deposit. If this is not possible, please email us to let us know how and when you will pay
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Contact person and phone number in case of emergency: *
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Where did you hear about the retreat?
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Is there anything else that you think we need to know about?
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By submitting this form, I agree to take full responsibility for myself during the retreat and to follow the gathering guidelines and the instruction of the teacher. I understand that this gathering is undertaken and continued with the agreement of the teacher(s)
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Name, date and signature
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Please now click "submit" below and complete the security questions that come up to check that you are not a robot. You should receive a summary of the answers that you have given us in your email box. If this does NOT happen then please contact us (it may mean that your registration has not gone through)
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A copy of your responses will be emailed to the address you provided.
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