Name *

First Name

Last Name

Phone *

(###)

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Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number *

(###)

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What days will you attend? *

Friday

Saturday

Sunday (morning)

Will you need overnight accommodations? *

If you will need overnight accommodations, please click Yes, and our Guest Manager will be in touch with you regarding availability.

Yes

No

Will you need a chair for sitting meditation? *

Yes

No