Visitor Intake-Roots and Water

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hi there! We're thankful that you're interested in Roots and Water. Please let us know with as much detail as possible what you're looking for at Roots and Water.

**If you are just interested in staying up to date with our events, no need to fill out this form. Instead you can join our whatsapp group: https://chat.whatsapp.com/IH2vA7BAcCh3KA6VacYLAU

Email *

Full Name *

Phone number

How did you hear of us? *

Roots and Water is first and foremost a space to support contemplative meditation practice. Please answer one or both of following statements that you most identify with. If it is not applicable, please put "N/A"

STATEMENT 1: I am a meditator with my own established practice and having a daily practice is a key motivator for my stay at Roots and Water.

In your answer, please describe at least (1) your meditation practice, (2) your meditation history, and (3) the desired length of your stay and how you imagine spending your time here. *

STATEMENT 2: I am not a meditator, but I am interested in staying at Roots and Water.

Examples of past guest stays include artist residencies, a garden/landscape worktrade, a place to sleep during a work trip, a private group yoga retreat and workshops.

In your answer, please describe at least (1) your personal goal for your stay, (2) the desired length of your stay and how you imagine spending your time here, and (3) why Roots and Water. *

If you are interested in becoming a roommate/collaborator/visitor at Roots and Water, please describe in detail (1) what interests and values align and (2) how you imagine sharing space with us.

What date would you like to visit?

Are you interested in the meal plan while here? Described here: https://www.rootsandwater.online/faqs/#food

Yes

Other:

Clear selection

I have read and understand the "Core Operating Agreement" and "Pricing" listed on the website https://www.rootsandwater.online/faqs/#pricing

Required

Anything else?

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms