Mindfulness Insight Meditation Retreat Registration
This document provides registration details for the Mindfulness, Concentration, and Insight Meditation retreat. It includes information on cost, schedule, accommodations, and contact details. Perfect for individuals seeking a transformative meditation experience.
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How do I fill this out?
To fill out this registration form, gather necessary personal information and select your retreat option. Ensure you pay the minimum deposit and fill out the required liability waiver. Double-check your entries before submission to avoid any errors.

How to fill out the Mindfulness Insight Meditation Retreat Registration?
1
Gather necessary personal information and details.
2
Choose your preferred retreat option and duration.
3
Complete the waiver of liability form.
4
Submit the registration form with the minimum deposit.
5
Double-check all entries for accuracy before submitting.
Who needs the Mindfulness Insight Meditation Retreat Registration?
1
Individuals interested in meditation to enhance their mindfulness practices.
2
Those seeking a focused environment for personal growth and reflection.
3
Yoga instructors looking to deepen their meditation skills.
4
Therapists wanting to recommend mindfulness retreats to clients.
5
Participants from previous retreats aiming to reconnect with the community.
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Click on the edit button to enter editing mode.
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Review your entries to ensure accuracy.
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What are the instructions for submitting this form?
To submit the registration form, please send the completed document along with a minimum deposit of $250 to Katrina Bergbauer at 225 Second Avenue, Decatur, GA 30030. Alternatively, you can email your registration form along with the deposit confirmation to retreats@imsb.org. Ensure the balance is remitted by May 30, 2016, to secure your reservation.
What are the important dates for this form in 2024 and 2025?
Registration is open until May 30, 2016. The retreat runs from June 30 to July 10, 2016, with early arrival available on June 29 for an additional fee.

What is the purpose of this form?
This registration form serves to gather necessary details from participants wishing to join the Mindfulness, Concentration, and Insight Meditation retreat. It aims to ensure that all attendees secure their spots while adhering to the guidelines provided by the retreat organizers. By collecting essential information, it facilitates smoother registration and enhances the participant experience.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Your full name.
- 2. Email: Your email address for communication.
- 3. Address: Your residential address.
- 4. City: Your city of residence.
- 5. State: Your state of residence.
- 6. Zip: Your postal code.
- 7. Phone numbers: Your daytime and evening contact numbers.
- 8. Occupation: Your current occupation.
- 9. Age: Your age.
- 10. Emergency Contact Name: Name of a person to contact in case of emergency.
- 11. Emergency Contact Phone: Phone number of emergency contact.
- 12. Retreat option: Choice of full or partial retreat.
What happens if I fail to submit this form?
Failure to submit this form means you will not be able to secure your spot at the retreat. Without your registration, you risk missing out on this transformative experience.
- Missed Opportunity: You may lose your chance to participate in the retreat.
- Financial Implications: You could lose your deposit if you do not complete the registration.
- Lack of Accommodation: Without registration, your accommodation preferences cannot be guaranteed.
How do I know when to use this form?

- 1. Reserve a Spot: To officially secure your attendance.
- 2. Provide Details: To communicate your preferences and emergency contacts.
- 3. Plan for Accommodations: To ensure lodging and dietary needs are addressed.
Frequently Asked Questions
How do I register for the retreat?
Fill out the registration form and submit with a minimum deposit.
What is the cost of the retreat?
Costs range from $950 to $1800 depending on accommodation choice.
Are there volunteer opportunities?
Yes, limited volunteer positions are available with a reduced registration fee.
Can I cancel my registration?
Cancellations after May 30, 2016, incur a non-refundable deposit, but half the remaining balance may apply to future retreats.
Is early arrival possible?
Participants may arrive early for an additional fee of $75.
What dietary restrictions can be accommodated?
Please indicate your dietary needs on the registration form.
Are single rooms available?
Yes, all rooms at the retreat are single-occupancy.
How should I prepare for the retreat?
Bring sheets, towels, toiletries, and be ready for a transformative experience.
Is the retreat center accessible?
Yes, Angela Center is wheelchair accessible.
How can I contact the registrar?
You can reach Katrina Bergbauer at retreats@imsb.org or 404-660-5674.