Registration

← Back

Thank you for your response. ✨

Name

Retreat Code

Phone

Address

Emergency contact – please provide name and mobile number

Gender

Female Male Other Prefer not to say

Over 18 Years Old?

Previous silent meditation retreat experience
Please include approximate dates of retreats sat with this teacher and dates/name of teacher for other silent meditation retreats.

Current daily/weekly spiritual practices

Food served at the retreat is vegetarian.
Kindly advise if you are gluten free and/or dairy free. We will do our best to cater for this at the retreat.

Psychological well-being. Although meditation is beneficial for most people, it is not a substitute for medical or psychiatric treatment. Meditation can result in substantial discomfort at times. An intensive retreat may not be suitable for persons with psychological or psychiatric disorders. If you are currently living with any psychiatric disorder, or have a past history of any mental health disorder, you should obtain professional advice prior to participating in the retreat.

I do not have a current psychiatric disorder, or a trauma history I do have a current psychiatric disorder, or a trauma history

Anything else we may need to know