Application for Vallecitos 2023 LGBTQIA+ Retreat 
*Application Instructions*
This retreat has an application process to allow for diversity in practice experience, age, ethnicity, sexual orientation, and gender identity. If you wish to attend, please first complete this application. We will be in touch with the first round of applicants on February 16 and continue to review applications on a rolling basis thereafter until the retreat is full. If a space opens up and you are invited to attend, we will email you with a registration link to sign up for the retreat. If you are in need of financial assistance to attend, you will complete a scholarship application once you have been invited AND completed your registration.

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Email *
Please re-enter your email address *
First Name: *
Last Name: *
Phone: *
City/Town *
State/Location *
Postal Code *
Age: *
Race: Check all that apply *
Required
Ethnicity:
Sexual Orientation *
Gender Identity: Please list below. *
Other identities you would like to share with us:
Are you new to meditation practice? *
If you answered NO above: How long have you been practicing meditation and with what traditions, teachers or centers?
Is this your first residential retreat? *
If you answered NO above: Is this your first retreat at Vallecitos?
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If this is NOT your first residential retreat: Please list residential retreats you have attended (where, when, how long, and with whom).
Why do you want to attend this retreat? *
Will you need a scholarship for this retreat. If so, do you need a partial or full scholarship? [This question is for planning purposes only and will NOT affect your application.] *
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