Howard Cohn Retreat Registration

Mindfulness: An Intimate Journey, with Howard Cohn

Insight Meditation Scottsdale | April 22-23, 2023 | @ 3811 N. 44th St, Phx
Email Address*
This email address will be used to send you information about your retreat - PLEASE CAREFULLY ENTER EMAIL HERE! (incorrectly entered emails may not receive important retreat information!)
Full Name (of individual attending the retreat)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Have previously you attended a retreat (daylong or longer) in the Insight Meditation Tradition?*

YesNo
How did you hear about this retreat?*
I would like to volunteer/contribute for this retreat (only check here if you are willing to commit to a volunteer role please; those checking below will be contacted in advance of the retreat to determine/confirm, thank you!):

Setup (arrive 30-45 minutes before start)During (Bell ringing, monitoring snacks and tea/coffee table)Clean up (stay approx 20 min after retreat end)Bring snacks for allBring an item needed (lunch for Howie & Genevieve, flowers, water for tea and coffee urns, tea, coffee, other)

REGISTRATION Registration Fee covers venue and costs of putting on a retreat only, this does not include teacher compensation. There will be an opportunity to offer Dana ("generosity") in any amount to the teacher at the end of the retreat with cash, check or online options. *

Registration Fee

$60.00

Enter coupon

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Payments made using this form will process through Authorize.net and will show up as payment to 'Solution Mindfulness'.
Cancellation & Refund Policy acceptance*

Cancellations up to 48 hours in advance will be refunded, minus $10 cancel fee. No refunds for cancellations after April 19th.
Should be Empty:

Mindfulness: An Intimate Journey, with Howard Cohn