Day Retreat Registration Form

Silent Mindfulness Day retreat registration form

With Adele Stewart
Please make full non refundable payment on registration. It is necessary to have some meditation experience and have attended at least one silent day retreat. You will need to be able to care for your own emotional and physical needs on this retreat. Retreats start at 9.45 for 10 and end 4 then clean up.
Name*

Preferred First NameLast Name
E-mail*
example@example.com
Mobile Number*
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Retreat date and venue
Any questions or comments. If Adele doesn’t know you please put down your meditation or retreat experience.

Payment. Tick Day retreat box and choose rate. If using mobile phone, you may need to click over text rather than box.

Day retreat Early BirdPlease pay supporting rate if you can afford to support another and supported rate if you need to

$40.00AUD

Total

$0.00AUD