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Retreat Registration Form
Contact Information
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
*
Phone
*
Select Retreat
*
select one
Spring MBSR Retreat (May 14)
June Weekend Sesshin (Jun. 10 to 12)
Sesshin at Ryumonji (Jul. 15 to 17)
Summer MBSR Retreat (July 23)
Sesshin at Hokyoji (Aug. 29 to Sep. 5)
Fall MBSR Retreat (Nov. 5)
Have you taken the MBSR course through Compassionate Ocean previously?
*
The MBSR retreat is open to graduates of past Compassionate Ocean MBSR courses.
select one
Yes
No
Session option
*
Seven-day practice period (Aug. 29 to Sept. 5)
Sesshin only (Sept. 2 to 5)
Other (I will contact the Center to discuss)
COVID-19 Protocols
*
The following guidelines will be in effect for people entering the Center: 1) Full COVID-19 vaccination (including booster) is required. 2) Masks are required while inside the building. 3) Physical distancing will be practiced. 4) Please do not visit if you are feeling ill. Please check the box below to acknowledge.
I have received and agree to the COVID protocols.
Preferred payment method
*
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Check payment
Online payment
Payment
*
$175
-
Ryumonji (non-member fee)
$150
-
Ryumonji (member fee)
$560
-
Hokyoji 7 nights (non-member fee)
$240
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Hokyoji 3 nights (non-member fee)
$490
-
Hokyoji 7 nights (member fee)
$210
-
Hokyoji 3 nights (member fee)
$
Add 3% to my total to cover payment processing fees (online payment only)