2024 Glastonbury Retreat
Sign in to Google to save your progress. Learn more
Email *
What's your name? *
What's your phone number with country code? *
Who's an emergency contact, both name and number, who speaks English and/or Spanish? *
Which room are you registering for? *
Any food allergies or dietary restrictions?  Please note, the center charges extra for these.  For vegan, gluten free, or nut allergies, please add 19 to your registration.  For other dietary restrictions, please add 42.50.  These small fees cover the entire retreat (so you don't need to multiply it by the number of nights) *
Required
If we have extra space, it might be possible to pay a fee to the center to get a private bedroom.  If this is possible, would you like to do it?  We'd contact you a few weeks before the retreat if it is. *
Do you currently have, or have you in the past been diagnosed with or treated for, any mental health conditions?  If you're certain we already know this info about you (eg you've been on a retreat with us in the past and this information hasn't changed), it's OK to leave this blank.  If you'd rather talk about this privately, please leave it blank and contact Tucker.  We do not usually exclude people based on this information, but it's helpful for us to know, as it can change the way meditation might affect you.
By TYPING MY FULL NAME BELOW, I am electronically signing my agreement to this liability waiver: https://meditatewithtucker.com/retreat-waiver/ *
I am going to send payment for the retreat within the next few minutes, or I've already sent it.  I will include the extra payment for dietary restrictions if I have any.   *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy