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Retreat Application

Meditation Retreat with Franca Leeson

To apply for this retreat, please answer the questions below and send a nonrefundable deposit of $100 if you have not already done so. (Your deposit will, however, be refunded if for some reason you are not accepted for the retreat. Further instructions on how to send the deposit will follow.)

Personal Information (Required fields are in red type)

Name: 

Email: 

Telephone: 

Address: 

City/Town: 

Province/State: 

Postal/Zip Code: 

Country: 


Harmony Dawn is strictly vegetarian. If this is going to be a problem for you, write to Franca and we will try to figure something out. Are there other diet or health issues we should know about? If so, explain here:

Financial Information

The cost of the retreat is $525.

Bursaries: We invite you to donate an additional amount toward our Bursary Fund, helping another participant who cannot afford the full amount. If the cost of the retreat presents a serious financial barrier, please let us know if you need a bursary.

 

Amount

Basic Registration Fee

$525

Here is the amount I would like to donate to the Bursary Fund:  


Please check one:
I will pay by check
I need to discuss another payment arrangement

Please consider offering me a bursary.

Meditation Experience and Intentions

Describe your regular practice: how many days per week, principal practices, and how long you've been practicing.

What have you learned through practice?

What do you now wish to know, understand, or be able to do as a result of this retreat?

Anything else you would like to say or ask?

This information goes directly to the teacher, who may contact you to have a longer conversation about your participation in the retreat. Once you submit your answers, you will be taken to a page with instructions on sending payment.

Click here to submit:

Look Again classes are scent-free! A number of students are sensitive to scented products, and suffer greatly if exposed to perfume or scented soap or hair products. Please avoid using any scented products at all on any meditation class day.

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