Vipassana light @ Pelion20
Vipassana-light Retreat, Hotel Alexandros, Pelion, Greece: June 2-12, 2020 (10 nights, 9 full days). Directed by Henk Barendregt. Daily formal meditation in morning and part of afternoon, some working in kitchen, garden or center, daily interviews, going to the beach in afternoon, and evening dhamma talk.Submitting this form indicates the intention to follow the retreat. After admission your payment of 100E deposit validates the registration.

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Email *
Hotel Alexandros
Family name *
First name *
Gender *
Date of birth *
ddmmyyyy
Meditation experience or interest *
Address *
Street & number
Town *
Postal code *
Country *
E.g. NL, B, D, CH, I, UK (like on licence plates)
Email *
Mobile phone *
Including country number
Emergency *
Mobile phone of friend or relative
Meals *
Alternative diet only if prescribed by docter or dietist
Deposit *
Registration is to see whether there is an available place and becomes valid after deposit of 100E (92% refundable up to 30 days before start); for single room 100E extra, which is non refundable.
Scientific research *
Are you in principle interested to participate in scientific research on meditation?                                                                  Actual participation can be decided when details of study become known.
Room type *
Tent 345E, twin 500E, single 660E.
Agreement *
Participant declares: "I register for mentioned period of retreat and have the intention to keep the rules of the retreat as much as possible. I know that I cannot keep the supervisor(s) responsible for my personal development. The supervisor(s) will give their best effort to support the participants to develop mindfulness for the sake of their progress."
Therapy or psychopharmaceuticals *
Have you been or are you in a therapy with a psychologist/therapist/psychiatrist? Are you using psychopharmaceuticals? Please confirm to send an email to hbarendregt@gmail.com in case the answer to one of the questions or both is positive, to explain the nature of the treatment and to see whether following a retreat at this moment is opportune.The answers will be treated as absolutely confidential according to the laws on privacy, as well as according to the ethical principles underlying Vipassana practice.
Motivation *
for coming to the retreat
We never share the information you give with any third party. The information you provide will only be seen by the 2 meditation teachers leading the retreat. Your information is held securely at all times in a manner that complies with EU data protection legislation (GDPR).
I give my consent to IMI (insight meditation investigations) for processing my personal data given above for the purpose of my application to this course. EU data protection law requires that we ask for your explicit consent to store and process your personal information.                                                                                                                   *
Mailing list *
Would you like to be informed by email from about vipassana meditation (-related events) in the future?
Required
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