The Art of Mandala Retreat - Registration and Payment

Name:*

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Would you like to receive the Rolling Ridge Study Retreat email newsletter to hear about other upcoming events?*

Yes, please!Not at this time, thanks.

Address:*

Street Address

Street Address Line 2

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Emergency Contact Name:*

Emergency Contact Phone:*

Dietary Needs:

Other Dietary Restrictions:

Our fresh, homecooked meals will include options for vegetarians (and limited vegan options). We invite participants with other special dietary needs to bring along supplemental foods which they are welcome to store in the kitchen refrigerator and cupboards for the weekend.

Please let us know about any special considerations for your rooming assignment:

Would you like to room with a specific person? Do you prefer to sleep on a bottom bunk? Do you prefer not to climb stairs? Etc.

Enter your online payment amount: $295, or amount after scholarship (if applicable)

USDAfter you click "submit" on this registration form, you will be redirected to a separate, secure payment page.

Liability Waiver:*

Checking here counts as my personal authorization and signature.

In consideration of permission to participate in activities during THE ART OF MANDALA RETREAT taking place August 9-11, 2024 on land known as Rolling Ridge Study Retreat and Rolling Ridge Conservancy, I hereby take action for myself as follows: 1. I agree to indemnify, defend, protect, and hold harmless Rolling Ridge Study Retreat, and the Rolling Ridge Foundation, all retreat staff, volunteers, officers and directors, from and against all claims, judgments, demands, suits, costs, damages, and liability (including without limitation reasonable attorneys’ fees and litigation costs) arising from, related to, or in connection with the occupancy of the premises or participation in any retreat program located at Rolling Ridge Study Retreat. 2. I recognize that wilderness retreats by their nature may expose participants to risks inherent in the environment, hence I voluntarily assume these risks and agree to indemnify and hold Rolling Ridge Study Retreat, and Rolling Ridge Foundation, all retreat staff, volunteers, officers and directors, free and harmless, from any liability for any loss, damage, injury or harm made, incurred, or sustained while using and encountering the natural resources of the property and adjoining wilderness areas, including, but not limited to rivers, streams, ponds, trees, wildlife, rocks and trails.