Sign up for Deep rest meditation retreat with Noon 11/2021

Sign up for Deep rest meditation retreat with Noon Baldwin, June 5-11, 2023
Please fill in all fields in English. Write "no" if you don't have any comments.
Name*

First nameFamily name
Email (please write twice to confirm)*

Confirmation Emailexample@example.com
My email address can be shared with other participants at the end of the retreat*

YesNo
Phone number*
Birth year*
City and country*
Please note that because of limited resources, we are not able to help with visa applications in any way.
Do you speak Finnish?*

YesNot that much, but I understand spoken FinnishNot that much, but I understand written FinnishNot at all
Gender (needed for room allotment)?*

MaleFemaleOther (prefer male room)Other (prefer female room)
Have you practiced meditation before? (Click all that apply)*

On your ownWith the help of books and recordingsWith a teacher or friendOn a retreatOther (please specify)Not at all
If you chose "Other", please specify
If you have meditated before, please describe - which style of meditation, book, recording, technique, teacher and/or personal experiences have been helpful? If you haven't meditated before, what interests you about meditation now?*
Previous retreats with Noon or elsewhere - when, where, with whom and how many days (approximate information is ok, especially if there's a lot to list). Any comments you would like to share about your retreat experience.*
Do you have any physical illness or disability, or problems with sleep, that may affect your practice?*
Do you have any diagnosed or experienced mental health challenges, such as depression, anxiety, trauma, eating issues, abuse history or issues, suicidal thoughts or attempts, or other psychological imbalances? (If yes, please give details of occurrences and treatment.)*
Are you taking any medication for physical or mental illness? If yes, please give details.*
In your current life situation, are there aspects that may cause you additional stress or that may significantly affect your meditation practice (e.g. grief, losing a job, divorce)?*
Are you attending the retreat with a significant other (spouse, relative, close friend)? If yes, please list the name/names.*
We serve vegetarian food that is mostly vegan. We are able to accommodate for allergies and veganism, but not preferences such as low carb diet.
Do you have food allergies? Please describe the details. When you describe your allergies, please be as specific as possible. For example, "lactose intolerance" -> "low lactose" or "no lactose". As another example, "allergic to red bell pepper" -> "allergic to raw red bell pepper, but cooked red bell pepper and red bell pepper powder are fine".*
Is there any additional information you would like to convey to the teachers/organizers? For example personal special requirements.*
Contact person in case of emergency. Please write name and phone number.*
The teacher has the right to refuse an application and cancel person's participation if it is seen necessary. The retreat fee is not refundable in case of cancellation during the retreat.
All personal information submitted in this form is strictly confidential and will be available only to the teachers and some of the organizers on a need to know basis. All related material will be destroyed after the retreat.
I agree to the storing and processing of this information for the purposes of retreat organization and teaching.*

Yes
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Sign up for Deep rest meditation retreat with Noon Baldwin, June 5-11, 2023