Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.EASTER RETREAT 2025 REGISTRATIONLayoutFirst Name *Last Name *Email Address *Cell Phone Number *Age (optional)Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountry *Please list all of your current prescription medications. In the event of a medical of an emergency, your list prescription medications may be required for emergency medical treatment. Your information is confidential. Do not include nutritional supplements.Emergency Contact Name *FirstLastEmergency Contact Number *Are you mobility-impaired and require help? Check all that apply.I use a wheelchair.I use a caneI need assistance with stairsHow will you get to the retreat center? *By my own meansI am requesting retreat coordinated ground transportation by shuttle service from SFO to the retreat Center and return to SFO for an additional feeThe retreat offers a vegetarian menu. Most dishes are gluten-free and may include eggs and dairy. Special dietary needs may be supplemented with personal food items if needed. The retreat manager can follow up to review your special dietary needs.I request dry storage in dining area.I request refrigerator or freezer storageWhat best describes your current preferred meditation style or tradition? This information is optional and confidential to inform the guiding teacher about your experience. Choose the answer that best describes it. *TWIMVipassanaZenTibetanAnother Mahāyāna traditionAnother Theravada traditionOtherChoose what best describes your general experience in meditation? This information is optional and confidential to inform the guiding teacher about your experience. Choose the answer that best describes it. *Beginner with casual meditation experienceIntermeidiate, non-TWIM with modest practice experience.Advanced, non-TWIM with one or more teacher lead retreats.TWIM practice but no TWIM retreat experienceTWIM with one or more 10-day teacher lead retreatsNone of the abovePreparation for Retreat - Attending a multi-day residential meditation retreat can be challenging for beginners. By submitting this form you agree that your are physically and psychologically capable of participating in this type of meditation retreat which runs for 9 days *I understand and agreeObserving Noble Silence - I understand that this is a silent retreat and that I consent to having devices (computers, laptops, smart phone, etc.) securely stored in the custody of the retreat manager for the duration of the retreat. I also agree to uphold meditative silence as prescribed by the retreat leaders and understand that it is a benefit to me and other participants to practice in silence. *I understand and agreeTeacher Guidance - It is important to adopt an open-minded approach to learning to practice Tranquil Wisdom Insight Meditation (TWIM), If you are new to TWIM, mixing other meditation techniques and methods have been shown to inhibit progress in the stages of meditation. Full dedication and engagement in the retreat has been shown to result in experiencing the goal as described by the Buddha. TWIM retreat leaders invest many thousand hours of study, practice, and years of training to become a retreat leader. They are motivated by kindness and generosity to help guide participants towards the goal of the Noble Eightfold Path. Every teacher is dedicated and committed to teaching freely. *I understand and agree Understanding Retreat Fees - Retreat fees only cover accommodations, meals, and direct costs of hosting the retreat. It is only through individual generosity that teachers receive money and gifts. Donations may be offered directly to individual teachers at the conclusion of a retreat. *I understand retreat feesRetreat Payment -Select From Drop Down Menu *Single Occupancy Deposit - $500.00Single Occupancy Full Payment - $1,695.00Shared Occupancy Deposit - $500.00Shared Occupancy Full Payment - $1,385.00Credit Card Payment *Submit