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Botswana
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Brazil
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Burundi
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Cayman Islands
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Chad
Chile
China
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Denmark
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Egypt
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Equatorial Guinea
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Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guinea
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
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Guam
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Guinea
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Guyana
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Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
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Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
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Saint Lucia
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Saint Vincent And The Grenadines
San Marino
Sao Tome And Principe
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Senegal
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Switzerland
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Tonga
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Gender
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Male
Female
Non-binary (prefer female floor)
Non-binary (prefer male floor)
Non-binary (prefer all-gender floor)
How do you self-identify your gender? This will assist us in assigning accommodations.
Trans/Other Gender Identity - applies to me
Yes
No
Trans/Other Gender Identity
Male
Female
How do you self-identify your gender?
Diversity
Person of color
LGBTQI+
Elder (65 years and older)
We strive to support all aspects of diversity. Please indicate all that may apply.
I am registering as:
Participant
Volunteer
Staff
Choose the option that best applies to you.
Select Retreat your Applying for
2019 Spring 1-Month long Retreat
2019 Spring 2-Month long Retreat
2019 Summer 1-Month long Retreat
2019 Summer 2-Month long Retreat
This is my ...
first residential retreat EVER
first residential retreat at Spirit Rock Meditation Center
Please answer this question if it is applicable.
Room Accommodations
Yes, I am willing and able to share a room!
I cannot attend the retreat unless I have a single room
Accommodation Considerations
Prefer no mixed gender floor
I request a chemically sensitive building
I am a snorer
I use a CPAP machine
I need a room on 1st floor
I would prefer to be housed
in the female floor
in the male floor
in the all-gender floor
Please select where you will feel most comfortable
Requested Roommate
I need a scooter due to mobility limitations
No
Yes
Medical or mobility limitation(s) Detail
Describe your medical or mobility limitations
Emergency Contact Info
How did you hear about this Event?
Spirit Rock Website
Email from Spirit Rock
Spirit Rock News (print newsletter)
Facebook
Other
Announcement at a sitting group or Spirit Rock event
Flyer or Poster
Magazine advertisement or article
From a friend
James Baraz
Terms and Conditions
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I accept the terms and conditions.
Please read the terms and conditions
Comments or Special Needs
Ride Sharing
I can offer a ride
I need a ride
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