We would love to have you join us! Simply submit the form below and one of the coordinators will get in touch with you shortly. Note: to apply to serve, please use the volunteer form.

APPLICATION FORM

YOUR NAME

EMAIL ADDRESS

MOBILE

CURRENT CITY OF RESIDENCE

--Please Select-- This will be my first retreat. I have attended a previous retreat. RETREAT HISTORY

ABOUT YOU

As you look at your field of work today, what breaks your heart? What gives you hope?

Share a personal experiment/practice of 'being the change'.

What has been your strongest experience of feeling compassion for others?

How did you hear about the retreat?

If applicable, please list your friend's name.

Do you know others registered for the retreat?

If applicable, please list the names.

Personal Info (to help with logistics)

Gender

--Please Select-- Male Female Other

Birthday

Briefly share your background, and what inspires you to join this retreat.

SUBMIT APPLICATION FOR RETREAT

 

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