Insight Meditation Retreat   Sept 15 - 19  2021
"Sanctuary in Uncertainty"
Insight Meditation Retreat with Jeremy Logan and Kanya Stewart
at Wangapeka Retreat Centre, Nelson.

Tēnā koe,
Thank you for filling out this form. If your situation does not fit neatly into the boxes please give your closest answer. There is a space at the end for comments and questions.
We can also update your information later if circumstances change (e.g. travel plans).

There is a lot of information within the form. You will automatically receive a copy of it, which will include your responses. Please keep this for your reference.

Ngā mihi nui.

Sign in to Google to save your progress. Learn more
Email *
Name *
Address *
Phone number *
Emergency Contact - Name and Relationship to you. *
Emergency Contact - Phone number *
Previous Retreat Experience
Note: This is a 'silent' meditation retreat. There are opportunities to ask questions and share experiences within group sessions. And there are opportunities to talk privately with the teachers. However, most of the day, including meal times, we are in silence.

This retreat is suitable for beginners, but it is helpful for the organisers and teachers to know your level of experience. Shortly before our retreat begins we will ask you to share details about your meditation and retreat experience - information that is helpful for the teachers. At this stage we just need a sense of your familiarity with retreats.
Please indicate your experience with residential silent meditation retreats: *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy