Winter Holiday Retreat Registration | tranquil wisdom insight meditation

First Name

Last Name

Email Address

Cell Phone Number

Age (optional)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Please list all of your current prescription medications. In the event of a medical of an emergency, your list prescription medications may be required for emergency medical treatment. Your information is confidential. Do not include nutritional supplements.

Emergency Contact Name

First

Last

Emergency Contact Number

Are you mobility-impaired and require help? Check all that apply.

I use a wheelchair.
I use a cane
I need assistance with stairs

How will you get to the retreat center?

By my own means
I am requesting retreat coordinated ground transportation by shuttle service from SFO to the retreat Center and return to SFO for an additional fee

The retreat offers a vegetarian menu. Most dishes are gluten-free and may include eggs and dairy. Keto and meat-based diets are not permitted, accommodated, stored or consumed on the premises. Special dietary needs may be supplemented with personal food items if needed. The retreat manager will follow up to review your special dietary needs.

I request dry storage in dining area.
I request refrigerator or freezer storage
Please contact me to discuss dietary needs

What best describes your current preferred meditation style or Tradition * This information is optional and confidential to inform the guiding teacher about your experience. Choose the answer that best describes it.

Choose what best describes your general experience in meditation? * This information is optional and confidential to inform the guiding teacher about your experience. Choose the answer that best describes it.

Beginner with casual meditation experience
Intermeidiate, non-TWIM with modest practice experience.
Advanced, non-TWIM with one or more teacher lead retreats.
TWIM practice but no TWIM retreat experience
TWIM with one or more 10-day teacher lead retreats
None of the above

Preparation for Retreat - Attending a multi-day residential meditation retreat can be challenging for beginners. By submitting this form you agree that your are physically and psychologically capable of participating in this type of meditation retreat.

I understand and agree

Observing Noble Silence - I understand that this is a silent retreat and that I consent to having devices (computers, laptops, smart phone, etc.) securely stored in the custody of the retreat manager for the duration of the retreat. I also agree to uphold meditative silence as prescribed by the retreat leaders and understand that it is a benefit to me and other participants to practice in silence.

I understand and agree

Teacher Guidance - It is important to adopt an open-minded approach to learning to practice Tranquil Wisdom Insight Meditation (TWIM), If you are new to TWIM, mixing other meditation techniques and methods have been shown to inhibit progress in the stages of medittation. Full dedication and engagement in the course has been shown to result in experiencing the goal as described by the Buddha. TWIM retreat leaders invest many thousand hours of study, practice, and years of training to become a retreat leader. They are motivated by kindness and generosity to help guide participants to experience the goal of the Noble Eightfold Path. Every teacher is dedicated and committed to teaching freely.

I understand and agree

Understanding Retreat Fees - Retreat fees only cover accommodations, meals, and direct costs of hosting the retreat. It is only through individual generosity that teachers receive money and gifts. Donations may be offered directly to individual teachers at the conclusion of a retreat.

I understand retreat fees

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WINTER RETREAT REGISTRATION 2024