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New Mexico September 2023 Adult Retreat Registration Form
Mandatory - 1 Per Purchase
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* Indicates required question
Full Legal Name
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
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Male
Female
Email
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Your answer
Phone number
*
Your answer
Address
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Your answer
I acknowledge that departure to the retreat location is September 14, 2023 at 3:00 PM sharp from the location posted on the
Zawiyah Retreats
web page and that if I fail to show up the bus will leave without me.
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Yes
No
I acknowledge that departure from the retreat location is September 18, 2023 at 10:00 AM sharp and that if I fail to show up the bus will leave without me.
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Yes
No
I acknowledge that any damage that I cause to the property will be billed directly to me plus a 15% admin fee.
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Yes
No
By attending the retreat, I understand that keeping the common areas clean is a communal responsibility and not that of the volunteers, I will do my best to clean up after myself.
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Yes
No
I acknowledge that an
y form of recording the workshop sessions is strictly prohibited and that audio or video recordings of Imam Fode Drame outside lecture times is also prohibited.
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Yes
No
I acknowledge that I am responsible to obey safety precautions as listed in writing via email and as explained verbally.
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Yes
No
I acknowledge that taking pictures or recording in the bedrooms and/or washrooms is prohibited.
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Yes
No
By attending the retreat, I will cooperate with the administrators and volunteers.
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Yes
No
By attending the retreat, I understand that I am surrounded by nature and I will respect the surrounding landscape and wildlife.
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Yes
No
By attending the retreat, I will respect Imam Fode's time and reserve my questions for the Q and A period. I will r
espect the retreat schedule and will not interfere in his departure from the lecture hall once the session is over.
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Yes
No
By attending the retreat, I understand that meal times are not additional Q and A sessions with Imam Fode Drame.
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Yes
No
By attending the retreat, I forfeit all right to bring a suit against Zawiyah Foundation, Zawiyah Foundation’s administrators, and volunteers for any reason.
*
Yes
No
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