Online "IAM" Retreat - Get Access to the Recordings

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

Please note, you will receive the link to the schedule immediately after your sign up with this form. Please do not close your browser after checkout, but look for the link and save it.

Email *

Name *

Country you are located in *

Gender *

Male

Female

Prefer not to say

Other:

Have you done an intensive meditation retreat before such as a Vipassana retreat, Zen Sesshin or similar? *

Yes

Have you done self inquiry dyads before? *

Yes

Have you ever been diagnosed with any of the following: *

Bipolar Disorder

PTSD

Borderline or narcissistic personality

Mood or anxiety disorder

Obsessive Compulsive Disorder

Schizophrenia

Depression

Panic Attacks

Social Anxiety Disorder

Physical trauma/injuries

None of the above

Other:

Required

Liability Waiver. I agree to assume full responsibility for any risks, injuries (physical or mental) or damages, known and unknown, which I might incur as a result of participating in the retreat. I knowingly, voluntarily, and expressly waive any claim I may have against the Samadhi Center, its facilitators or any affiliates. *

Agree

Disagree

Required

The Samadhi Center is part of an ongoing research study on Samadhi/ Kensho (realizing your true nature) in conjunction with a professor named Dr. Jeffrey Overall who is pioneering studies in consciousness for the benefit of humanity. We would greatly value your participation in this study. Any info collected is 100% confidential and anonymous.
*

Yes I would like to participate in the study

No I would not like to participate in the study

Clear form

Never submit passwords through Google Forms.

This form was created inside of Awaken the World. Report Abuse

Forms