5-Day Silent Meditation Retreat: December 27 - December 31

Contact information

First name

Last name

Email for order confirmation

We'll send your receipt and other important info to this email.

Billing address

Country

Billing address

Zip code

City

State

Participant

Mobile phone

Time zone

Why are you taking MBSR?

How did you find out about us?

Have you taken the 8-week MBSR course?

Is this your first multi-day silent retreat?

Describe your background in mindfulness and meditation:

Please share any physical/mental health challenges that may impact your course experience:

Please list three personal goals you have for taking this program:

Do you have any requests for accommodations you would like your instructors to know?

Retreat Agreement

I am voluntarily participating in this retreat, which includes all techniques and exercises shared by instructors. I understand that the 5-day silent meditation retreat is a personal growth activity a…

(Click to read full text)

Code of Conduct

I understand that I am expected to attend all of the sessions during the duration of the retreat. I understand that failure to attend one or more of the aforementioned sessions may result in not achie…

(Click to read full text)