Registration: Costa Rica Retreat Winter 2024

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December 4th through December 9th

For any questions with this form, please reach out to Noel at info@thebccp.com or 617-435-6641

Email *

Majestic Lodge - La Fortuna Costa Rica

First and Last Name *

Contact Email *

Phone Contact *

Emergency contact

(name and phone of whomever should be contacted in case of an emergency while traveling)

Relevant Health and Medical Info (are their any current health concerns you'd like to make us away of while traveling together?)

Accommodation Selection

(note, additional 10% discount will be calculated if registering prior to June 1st)

PAYMENT PLANS AVAILABLE

All selections include:

- Lodging: 5 nights/6 days (each room has private bathroom)

- Meditation Sessions:

daily morning & evening meditations/discussions

- Food: all the home cooked Costa Rican food you can eat

- Local Transportation: airport pick up and from lodging to local activities / into town)

- Lake Activities:

use of kayaks/paddle boards on Lake Arenal

- Laundry service

Double bed in shared room - $2754 (if reg. before June 1st $2478.60)

Murphy (double) in shared room - $2636 (if reg. before June 1st $2372.40)

Are you also registering a second participant with whom you will share a double bed? If so, please select an option below:

Additional person in a double bed in shared room - $1377 (if reg. before June 1st $1239.30)

Additional person in a Murphy bed in shared room - $1318 (if reg. before June 1st $1186.20)

Other:

Clear selection

Do you have any promotional codes for registration discounts?

Second Participant (if sharing a bed) First and Last Name

If you are booking a shared room and there are other participants you would like to share the room with, please list their name(s) below

Special Dietary Requests - please let us know of any food allergies and eating style preference: *

Meditation Experience: *

I'm brand new to meditation.

Limited experience and practice, but I've been introduced.

Familiar with basic meditation techniques and semi-regular practice.

Consistent practice, beginning to explore deeper techniques/traditions.

Extensive practice with deeper techniques (dzogchen, mahamudra).

Have you attended a meditation retreat before? *

Never

Once

A few times

Several times

Would you like to name any particular intentions for the retreat?

Do you have any questions or concerns that you would like to be addressed?

I acknowledge that I'm responsible for booking and paying for my own transportation to Costa Rica (airfare).

Transportation from the airport to the retreat will be provided and is included in the pricing. *

I acknowledge that I'm responsible for booking and paying for my own transportation to Costa Rica.

Required

REGISTRATION CONFIRMATION:

Upon completion of this registration form, you will be emailed a link to complete a non-refundable deposit of $500 to hold your spot on the retreat.

At that point, arrangements for the remaining payments will be made, including the options for a payment plan.

All payments must be completed by November 1st, 2024.

I acknowledge the deposit and payment structure.

Required

Please feel free to leave any feedback below:

A copy of your responses will be emailed to the address you provided.

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