CA Sufi Sesshin 2023

Name*

Sufi/First NameLast Name

Telephone*

Include area code

E-mail*

Best email to contact me

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name*

Specify someone who is NOT on retreat with you.

Emergency Contact Phone Number*

Emergency contact phone number

Accommodations

$875

Shared Room Accommodations (Price per each)

$1095

Private Accommodation - Limited Availability

$575

Full Attendance - Offsite Accommodations

$150

Part-time Attendance - Offsite Accommodations

Price per full day

Registration fees*

$875 Shared$1,095 Private$575 Offsite$150 Offsite Daily

Offsite Registration

One DayTwo DaysThree DaysPartial Day $50

Preferred Roommate

For room sharing preference. *Some rooms can house more than two people if group lodging is requested/preferred.

Dietary Special Needs*

Medical or mobility considerations

Offsite days or Other details for registrar

COVID Policy Compliance**

I accept and AGREE to follow the COVID Policy protocols and testing as listed in the current registration guidelines for attendance. I am eligible for a full registration refund based on COVID positive test results. I understand the policy may change as our gathering date approaches.

Discount or Scholarship Awarded*

YesNo

Discount/Scholarship Award Amount

Enter amount as a positive number to reduce your registration fee. All discounts and scholarships require preapproval. For sliding scale discount, contact waduda@ruhaniat.org before completing your registration. For Sufi Youth Scholarships contact nextgensufis.org/scholarships

Payment Method - note "Sesshin" in payment memo*

SRI Online Bank - Secure Payment Portal (Credit/Debit card, Bank ACH). Use for international payments with US CC.PayPal (Credit/Debit card or PayPal account). Pay to SRI at: waduda@ruhaniat.org (Easy pay box below)Mailing check today. Sufi Ruhaniat International 1330 6th St. Boulder, CO 80302

Total payment Due*

Enter 200 to pay deposit only

PayPal Payment

USDCA Sesshin

$200 Non-refundable Deposit is required to secure your registration. Full payment with registration is preferred.

Each person attending registers separately. Please consider listing a preferred roommate.

Be sure to note Sesshin in your payment memo. Paying with the PayPal link in this registration form automatically notes "CA Sesshin" with your payment.

Tuition is due in full by February 3, 2023. Early registration and payment is recommended as our meeting accommodations are limited. Registration cancelation refunds are available until February 10th, less $200 non-refundable tuition. No refunds after February 10th.

*Adherance to our specified COVID Policy is required for attendance. See attached PDF for testing protocol.

To submit your registration, click "Next" button below. You will receive an email confirmation of your registration immediately upon submission. Please contact registrar, waduda@ruhaniat.org if you do not receive this email. Additional information and welcome letter will be sent at a later date.

Required Math Challenge. This security measure helps eliminate automated "bot" form submissions. Click NEXT to submit registration.

Eighteenth Northern California ~ SUFI SESSHIN 2023

Sunday March 5 - Friday March 10, 2023