Wake Up Weekend - Single Room - Boka

Please describe any ongoing medical conditions you may have and any medications you take for your physical health.

If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health.

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.

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.

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/

Type the name of the person you want to share a room with if any. For example: John Doe, partner
Kindly note that only families and couples will get a private room if available, whereas friends will share with other retreatants as well.

FOR MESSAGES TO OFFICE STAFF ABOUT ANYTHING RELEVANT TO YOUR REGISTRATION