Updated 17th July 2001

Details Blank Booking Form (Dharma Training Programme Retreat) Blank Booking Form (Open Retreat)
Blank Sister Annabel's April 2001 London talk Blank

COMMUNITY OF INTERBEING RETREAT BOOKING FORM

Dharma Training Programme Retreat (Restricted to CoI members) Monday October 1st (lunchtime) to Friday October 5th, 2001

  1. Accommodation will normally be in same-sex shared rooms. Couples are normally allocated separate rooms. If you would like to share a room with someone, please register on the same form. Please print clearly the last name, first name, and gender (for room allocation) of each person in your group or family. Please indicate the age of all participants less than 17 years old.

    2.

    Last Name

    First Name

    Gender

    Age

    Signature*

    Date
               
               
               
               
               

    * The following signatures indicate that participants relieve the Community of Interbeing from all liabilities in the event of any injury or illness incurred while attending the retreat. See item 13 below.

  2. To receive confirmation of your booking and further information on the retreat, please give the name and address of the contact person for the above group/family/individual.

    3.

    Name:

    Address:

    Phone:

    Email:

  3. Please give the name and telephone number of someone who can be contacted in the case of any emergency while you are on retreat.

    4. Name:

    Phone:

  4. I wish to book places for the retreat, at £100 per place.

  5. I enclose £ as a non-refundable deposit for the above booking(s) (£20 deposit per person).

  6. I enclose an additional donation of £ as a contribution to the bursary fund.

    7. Please make cheques payable to ‘Community of Interbeing’. The full cost is to be paid by August 31st 2001.

  7. If you wish to apply for a bursary please indicate, and an application form will be sent: Yes / No

  8. Are you a member of the Community of Interbeing? (ie subscribe to ‘Here & Now’) Yes / No

    9. As central funds are supporting this programme, all participants must be members of CoI.

    A membership leaflet will be sent to non-members.

  9. Have you received the 5 Mindfulness Trainings? Yes / No

  10. Please indicate what you would be willing to offer to the retreat, eg lift sharing, leading yoga sessions, bringing and/or playing an instrument, singing…

    11.

     

  11. Please indicate any particular needs, eg concerning access to buildings, food

    12.  

  12. Further copies of this booking form are available on the CoI web site: http://www.interbeing.org.uk

  13. Liability waiver. While we will try our best to ensure your stay with us is incident-free, the retreat organisers and the Community of Interbeing cannot be held responsible for any injury or illness that may occur. For everyone over 16 years old, please sign and date in the space provided. For those under 16 years of age, a parent or a legal guardian must sign and date.

  14. Please enclose 2 stamped, self-addressed envelopes.

  15. Please send this form to: Ann Draj

    16. 118 Albert Street, Ramsbottom, Lancs, BL0 9EA
    Details Blank Booking Form (Dharma Training Programme Retreat) Blank Booking Form (Open Retreat)
    Blank Sister Annabel's April 2001 London talk Blank