DTL May 2026 Registration Form

COVID Protocols and Agreements

Based on a shared value of protecting public health and the well-being of our community, all staff, teachers, and participants must be fully vaccinated with vaccines for COVID-19 before registration. We require everyone to show proof of vaccination, including a PCR test 3 days prior to arrival. You can take a picture of your negative test to be presented upon arrival at registration. We define "fully vaccinated" as having received 2 doses of a COVID-19 vaccine accepted for travel with at least 1 booster.

Masking is optional but we trust you will adhere to any requirements that may effect or harm any individual on retreat.

If you begin to show signs of fever, coughing or flu like symtoms, PAAP staff will have a few COVID tests and masks for your use. If you have tested positive for the COVID virus, we will require you to remain in your room, mask and prepare for your return flight home.

Thank you in advance for your care for each of us on our healing journey.
A COVID-19 vaccine is required. Have you been vaccinated?*

YesNo
Liability Waiver For Participating in In-Person Programs https://drive.google.com/file/d/1DqwE_001fYWb_E-OlG1c76qY7YxmHD0E/view?usp=sharing
By signing this box * I AGREE - I acknowledge that I have read and agree to the terms of the Liability Waiver For Participating in In-Person Programs*
Fragrance Free Information For Participating in In-Person Programs https://drive.google.com/file/d/1Ho-6hoOXuSPzamjDHE-fyRZwCAndrqhA/view?usp=sharing
By signing this box * I AGREE - I acknowledge that I have read and agree to the terms of the Fragrance Free Information For Participating in In-Person Programs*
COVID-19 Protocol For Participating in In-Person Programs https://drive.google.com/file/d/1DqwE_001fYWb_E-OlG1c76qY7YxmHD0E/view?usp=sharing
By signing this box * I AGREE - I acknowledge that I have read and agree to the terms of the COVID-10 Protocol For Participating in In-Person Programs*
Non-Disclosure Agreement https://drive.google.com/file/d/1DqwE_001fYWb_E-OlG1c76qY7YxmHD0E/view?usp=sharing
By signing this box * I AGREE - I acknowledge that I have read and agree to the terms of the Non-Disclosure Agreement*
Image Consent PLEASE READ: I grant permission to Peace At Any Pace and Deep Time Liberation to take photographs and/or record digital media of me for use in promotional materials. These materials might include printed or digital products. I authorize the use of these images and recordings without compensation to me. All images and recordings shall be the property of Peace At Any Pace. *

Meditation, Retreat, and Spiritual Practices
List any meditation practice or spiritual traditions that you have been or are currently involved with (i.e., Zen, Dzogchen, Tibetan, 12 Step, Catholic, Shamanic, Yoruba/Orisha, Thematic, New Thought, A Course in Miracles, etc) and the approximate years you have practiced in the tradition(s):*
What is your current daily/weekly spiritual/meditation practice?*
What do you hope to gain from your retreat experience?*
Is there anything else you would like to share with us in relation to this retreat?*
We graciously encourage you to be present for the entire retreat. This will enable you to fully grasp the experience, as well as hold a safe container for yourself and other participants. By signing below, you commit to being present for the entirety of the retreat.*
At the end of the retreat, you may be asked to participate in a recorded interview to provide feedback on your experience. By signing this form, I am allowing Peace At Any Pace, Inc. to audio or video tape me as part of this interview.
What are your expectation(s) for this retreat?*
How did you hear about us?*

Meditation retreatSocial MediaRecommendation from a friend or colleagueBlog or publication or bookSearch engine (Google, Yahoo, etc)Other
Please upload a photo of yourself here*

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Deep Time Liberation
An Ancestral Healing Journey
Louisiana

May 14-22, 2026

Accommodations, Transportation and Food

COVID Protocols and Agreements

Emergency Contact Information

Meditation, Retreat, and Spiritual Practices

Deep Time LiberationAn Ancestral Healing JourneyLouisiana

May 14-22, 2026

Accommodations, Transportation and Food

COVID Protocols and Agreements

Emergency Contact Information

Meditation, Retreat, and Spiritual Practices

Deep Time Liberation
An Ancestral Healing Journey
Louisiana