Please fill and submit below form 10%PrefixMr.Mrs.Ms.Mx.MissDr.Prof.Mr.First Name *Last Name *Email Address *Phone *Canada +1Street Address *Apartment, suite, etcCity *Province *Postal Code *What days will you attend? *Retreat 3 : May 17 to 19Retreat 4 : Aug 02 to 04Retreat 5 : Aug 30 to Sep 01Retreat 6: Oct 11 to 13Retreat 2 : April 18-20 [Friday- Sunday] *Day 1Day 2Day-3Retreat 3 : May 17-19 [Saturday - Monday] *Day 1Day 2Day-3Retreat 4 : Aug 02-04 [Saturday - Monday] *Day 1Day 2Day-3Retreat 5 : Aug 30- Sep 01 [Saturday - Monday] *Day 1Day 2Day 3Retreat 6 : Oct 11to 13 [Saturday - Monday] *Day 1Day 2Day 3Contact details in case of an emergencyPartnerParentFriendOtherPartnerName of the Contact Person *PhoneCanada +1Do you have previous meditation experience?YesNoYesPlease describe your practice if you have meditated before0 / 250Do you have any Dietary restrictions ?NoYesVegetarianVeganGluten freeOtherNoPlease Explain0 / 250Do you need suggestions for accommodation?YesNoYesIt is ideal you remove yourself from your daily routine, and stay in a neutral environment during the retreat!Are you interested in offering transportation to fellow participants?YesNoYesDo you require a confirmation letter to confirm your participation?YesNoYesConsent *Yes, I agree with the privacy policy and terms and conditions. Also, I understand that I must pay CAD 50 per day for the meals. *(If you have difficulty in paying this sum please get in touch with us!)I would like to do the payment by, *In CashEtransferOnlineYour total meal expenses for meditation retreat isHow Much Would You like to Pay now? *CADSubmit
