Emptiness Meditations

1

Full Name* This field is required.

2

E-mail* This field is required.

3

Your Gender* This field is required.

Femal

Male

Other

4

Do you have a regular meditation practice?regularly on 5 days a week or more

YESNO

5

Please briefly describe your meditation retreat experience.

6

Are you able to safely walk a mountain path on your own?If you can’t, what kind of assistance do you need? Please let us know in the comment box at the end of the form. Thank you.

YESNO

7

Rulebook* This field is required.

8

Electronic Signature* This field is required.Any affirmation, assent, or agreement you send through the Website will bind you. You acknowledge that when you click on an “I agree,” “I consent,” or other similarly worded “button” or entry field with your finger, mouse, keystroke, or other device, your agreement or consent will be legally binding and enforceable and the legal equivalent of your handwritten signature.

9

Anything else?Please let us know if there is anything else we can assist with like any dietary restrictions.

10

After submitting this questionnaire, you will be redirected to choose your housing type and payment. ONLY if you finish this next step, your spot at the retreat is secured.