www.AwakeningHeart.org
AUTUMN WEEKEND RETREAT
October 25 - 27, 2013
A weekend residential retreat — Friday 6:00pm through Sunday 2:00pm

  +++ NOTE: This retreat is filled. +++  
You may still submit this registration to be placed on a waiting list in case space becomes available.

THREE BUDDHAS Retreat Registration
  ( * indicates required field )
 
Your name:
Your Email address:
Re-type email address:
 
Telephone:
Address:
City, State, Zip:
 
Emergency contact
name & phone:
 
 
This retreat is intended for participants with a regular group meditation practice, meeting these criteria:
• Have practiced group meditation at least 4 to 8 times at Dallas Meditation Center or a similar center
• Committed to attend the 5p.m. Sunday sangha at DMC at least twice between now and this retreat
• Intend to regularly attend the 5p.m. Sunday sangha at DMC weekly, or at least once a month following this retreat
Please select one of following statements.
Meditation experience: I have practiced group meditation at least 4 to 8 times at Dallas Meditation Center or a similar center, commit to attending the weekly 5pm Sunday sangha at DMC at least twice before this retreat, and intend to attend the weekly 5pm Sunday sangha at DMC weekly, or at least once a month, following this retreat
 
I have not practiced group meditation at least 4 to 8 times, but I have received approval from Brother ChiSing to register for this retreat
 
 
Retreat Rates:
Weekend Retreat (Oct 25-27)
Rates for the weekend retreat, Oct 25-27:
• $225-250 for those of higher income
• $200-225 for those of medium income
• $175-200 for those of lower income
• $150-175 for those with no income
Extended Retreat (Oct 23-27)
Suggested rates for the extended retreat, Oct 23-27:
• $400-500 for those of higher income
• $300-400 for those of medium income
• $200-300 for those of lower income
 
Please give as generously as you can, so that we can offer the lower rates to those who need them. Thank you!
 
Indicate your donation rate: $
 
 
A $50 non-refundable deposit is required with your registration.
Full payment is due by September 20.
Full payment is due with your registration.
How will you submit
your payment?
Online (Paypal / Credit Card)
Check / Money Order
Payment instructions and links will be given on the next screen after you submit this registration form.
* CANCELLATION / REFUND POLICY * Important...
• Your payment is non-refundable
• If you need to cancel for some reason, your payment may be applied to a future retreat or donated to our retreat scholarship fund.
 
 
Ride sharing: I can provide a ride for others
I need a ride
 
Camping option: I will bring a tent and camp
 
Roommate request:
(most rooms have two beds,
please specify if you have
a specific roommate request)
I have a roommate request
Specify your requested roommate. NOTE: That person must also register and request you as a roommate:
Name:
Email:
Phone:
 
 
Let us know if you have
any special needs:
 
 
Comments:
 
 
Click to submit remaining balance
Autumn Retreat Collage