9-day Tahoe Silent Retreat April 2019

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Registration Summary

Ticket type	Price	Fee	Ticket	Total
9-day Lake Tahoe Silent Retreat Price : $1275 Fee : $19.29 Ticket : 1 Total : $1275.00				9-day Lake Tahoe Silent Retreat	$1275	$19.29	1	$1275.00

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Attendee1 Details - 9-day Lake Tahoe Silent Retreat

Email address *Email address *

First name *First name *

Last name *Last name *

Home Phone**Home Phone

Mobile Phone**Mobile Phone

Billing Address**Billing Address

Shipping Address**Shipping Address

Gender**Gender

Male

Female

9 day retreats require a previous 6 or 9 day attendance or a coaching call**9 day retreats require a previous 6 or 9 day attendance or a coaching call

I have attended a 6 or 9 day retreat previously with New Dharma

I have attended a SAt Weekend with New Dharma

I have had a coaching call with New Dharma prior to attending

I have not had a coaching call or attended a New Dharma program

Do you take medications regularly?**Do you take medications regularly?

Yes

Do you have any health problems including mobility or physical limitations or injuries which would be helpful for us to be aware of?**Do you have any health problems including mobility or physical limitations or injuries which would be helpful for us to be aware of?

Are you currently in therapy? If so, please state the nature and type of therapy.**Are you currently in therapy? If so, please state the nature and type of therapy.

Is there anything else that we should know that will assist your visit with New Dharma?**Is there anything else that we should know that will assist your visit with New Dharma?

Will you need accommodations at the Washoe Valley Center?**Will you need accommodations at the Washoe Valley Center?

Yes

Flight arrival information (day, time, flight # and airline):Flight arrival information (day, time, flight # and airline):

Emergency contact name and phone number**Emergency contact name and phone number

Home Country - required**Home Country - required

Dietary Preferences - please note that New Dharma will endeavour to accommodate food preferences, but not all can be met.**Dietary Preferences - please note that New Dharma will endeavour to accommodate food preferences, but not all can be met.

Omnivore

Vegetarian

Vegan

Dairy Free

Gluten free

Severe Nut Allergy

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