Select Your Retreat
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Feb 3-8: White Manjushri Daily Puja with Karen Russell
April 29 - May 21: 23 Day Tarot Course- ONLINE Retreat ~ with Sonam Senge
May 31 - August 23: Kabbalah and Mandalas -ONLINE Retreat with Sonam Senge
Name
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First Name
Last Name
Age
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Gender
Occupation
Email
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Phone
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
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Emergency Contact Name
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Emergency contact phone number
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Select your preferred payment method (please note that e-transfer preferred)
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E-transfer (send e-transfers to: retreats@dharmacentre.org)
Cheque
Credit Card (please call our office at 705-488-2704 to process payment)
Please read the following section carefully: While many meditation practices are beneficial, some practices and retreat experiences may be powerful, negative, or disturbing, and not all retreats are suitable for every person. Those with mental illness or mental health concerns may have a particularly difficult time with some practices. If you are under the care of a doctor for a physical or psychological condition we recommend speaking to them about whether this type of intensive work is appropriate for you. If you have concerns or questions, please contact the Dharma Centre directly to be put in touch with the retreat instructor who can help you determine if this retreat is right for you. This information will be received by the retreat administrator and may be shared with the retreat teacher to determine suitability. This information will remain confidential and will be securely disposed of after your retreat. With the previous in mind:
Do you have any other physical or mental health consideration you'd like us to know about?
Have you done retreats before - silent or otherwise?
Where did you hear about this retreat?
Are you a Dharma Centre Member? Being a member can discount the cost of your retreat.
I give consent to opt in to the Dharma Centre of Canada email list
Additional donation - Your registration helps support low-income practitioners to be in retreat at the DCC. If you wish to donate and receive a tax receipt for your additional contribution, please indicate below how much you would like to contribute.
No donation, thank-you.
$20
$50
$100
$200
Other
The Dharma centre is raising funds to uplift many buildings on the property. Please indicate below if you wish to give a $10 a day optional surcharge towards this important resource.
Yes, I would like to add a $10 a day surcharge
No, I prefer not to make a contribution
Yes, I would like to offer an alternative amount (specify below).
If you have chosen option 3 please specify the amount you wish to contribute:
Dana for Teachers: Please contact Retreat Coordinator for more information about sending an etransfer directly to the teachers.
Thank you for registering for a retreat at the Dharma Centre of Canada!
Your retreat registration has successfully been submitted.
You will receive a confirmation email from our Retreat Administrator within 1-2 days confirming your place on the course.
