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Wake Up Weekend - Camping - Send bílegging
Magnolia Grove Monastery
»
Wake Up Weekend - Camping
» Send bílegging
Tøkt
•
Partvís tøkt
Byrjunar dagur
×
Bílagt
Upptikið
Tín takstur:
Vel ein byrjanar / enda dag fyri at síggja takstin
1.) Pick a retreat and type of accommodation in the “SELECT RETREAT HERE” box... If not, all dates will display unavailable (in red). 2.) Each guest must complete an individual registration. 3.) Please note that Fridays are our arrival days for Personal Retreat... We do not receive guests outside of available dates (in green).
Upplýsingar um bílegging
Høli
*
Personal Retreat - Bed in Shared Room
Personal Retreat - Camping
General Retreat - Bed in Shared Room
General Retreat - Camping
General Retreat - Commuter
SELECT RETREAT HERE
Dato
S_NO_FUTURE_DATES
Persónsupplýsingar
Retreatant First Name
*
Retreatant Last Name
*
Retreatant Age
*
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**General Retreat (8/29-9/2) is reserved for adults (18 and older)**
Gender Identity / Expression
*
---
Practicing with the Brothers
Practicing with the Sisters
Practicing with the Brothers:
male, transgender men, non-binary, gender-fluid, gender queer, agender
Practicing with the Sisters:
female, transgender women, non-binary, gender-fluid, gender queer, agender
Medical Information
Doctors Name
Please type the name of your doctor.
Doctors Telephone Number
Please type your doctor's telephone number.
Allergies
Please describe any allergies you may have.
Physical Health History
Please describe any ongoing medical conditions you may have and any medications you take for your physical health.
Mental Health History
If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health.
Mindfulness Trainings
Have you received the 5 or 14 Mindfulness Trainings?
Please select an answer
I have not received the 5 or 14 Mindfulness Trainings
I have received the Five Mindfulness Trainings
I have received the 14 Mindfulness Trainings
I am a Dharma Teacher in this tradition
Billing Details
Fornavn
*
Eftirnavn
*
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*
Skriva tín teldupost bústað umaftur
*
Bústaður
*
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*
Postnummar
*
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*
Land
*
Sambandsríki Amerika
Kanada
Italia
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Guatemala
---
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+
??
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---
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Emergency Contact
Navn
*
Please provide the name of someone other than yourself.
Relation to you
*
Telephone
*
Language
*
---
Arabic
Cantonese
Catalan
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Aðrir upplýsingar
Retreat Participation Policy
*
By checking this box, I acknowledge that I am applying to register for a mindfulness retreat. If accepted, I understand that I am expected to participate in the daily retreat schedule of the monastery and to practice according to the Five Mindfulness Trainings during my stay (a copy of the Five Mindfulness Trainings can be found on "The Path of Happiness" page of our website). I also understand that I am expected to remain on the monastery grounds for the duration of my retreat, unless I receive permission to leave and entry information to reenter. Further, I understand that, except in cases of emergency, I will not have access to monastery phones, computers, internet, or Wi-Fi, and that outside work, school, and family obligations must be set aside during my stay.
Liability Waiver
*
Terms and conditions 1) I have read and understand the information on the Magnolia Grove Monastery website about this retreat and attending retreats at Magnolia Grove. 2) I have read and understand the
Cancellation Policy
for this retreat. 3) I am are aware that each individual is responsible for their own well-being, and that of any minor(s) in their care. 4) I understand that meditation practice is a complement to, and not a substitute for, prescription medicines, or any psychological or medical treatment. I intend to continue to follow the direction of my doctors and counselors. 5) I agree to relieve Magnolia Grove Monastery from any and all liabilities in the event of any accidental injury or illness incurred by me, or by any minors in my care.
May we keep contact with you?
*
Yes: you have permission to contact me
No: I prefer not to be contacted
Please click on the drop-down arrow to select yes or no. We would like to keep in touch with you, to nourish you with news about the Plum Village tradition practice and community. We will keep your information safe and secure and we won’t share it with other organizations. You will always be able to unsubscribe easily through a link at the bottom of our e-mails. For further details on how your data are used and stored, please visit: https://magnoliagrovemonastery.org/privacy-policy/
Requested roommate(s) and relation to you
Type the name of the person you want to share a room with if any. For example: John Doe, partner. Each guest must complete an individual registration.
Kindly note that only families and couples will get a private room if available, whereas friends will share with other retreatants as well.
Viðmerkingar
FOR MESSAGES TO OFFICE STAFF ABOUT ANYTHING RELEVANT TO YOUR REGISTRATION
S_ADDMETOWAITLIST
S_ADDMETOWAITLIST_HELP
*
- kravdur teigur