Wake Up Weekend - Single Room - Make reservation

Magnolia Grove Monastery » Wake Up Weekend - Single Room » Make reservation

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Your rate:

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Please select the retreat and the type of accommodation in the drop down menu below to check for availability. Personal Retreat arrival days are only on Fridays.

Reservation details

Resource*

Arrival Date

Personal details

Retreatant First Name*
Retreatant Last Name*
Retreatant Age*
Gender Identity / Expression*
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

Doctor's Name
Please type the name of your doctor.
Doctor's 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?

Billing Details

First name*
Last name*
Email address*
Type your email address again*
Address*
City*
ZIP/Postal code*
State/Province*
Country*

Phone*+1

Emergency Contact

Name*
Relation to you*
Telephone*
Language*

Additional info

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?*
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/
Notes
FOR MESSAGES TO OFFICE STAFF ABOUT ANYTHING (like who you'd like to share a room with or anything else)
Add me to the waiting list
If you select this option, the reservation request will be added to the waiting list and will have the possibility of being converted into a valid reservation if another customer's reservation gets cancelled

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