South Insight Meditation: James & Jane Baraz Registration
9th December, Waiora Trust, Te Ahi Kaa Conference Centre, 48 Watson Rd, Harewood, Christchurch
Contact details: Cell phone; Phone
Please outline in detail your background in meditation, if any (number and dates of retreats and name of teacher, type of tradition, years experience).
System of payment, $35
Online Banking: Southern Insight Meditation, Kiwibank 38-9017-0230890-04 Please include Baraz18 as code and name with payment
Cheques payable to: Southern Insight Meditation
Do you require accommodation?
Can you offer accommodation?
Where did you hear about the retreat?
By submitting this form, I agree to take full responsibility for myself during the gathering 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)
Name, date and signature
A copy of your responses will be emailed to the address you provided.
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