The Resilient Heart

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1 Welcome

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$280.00 – Event fee - in person - non member

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$200.00 – ZCO dues-paying member - in person

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Dharma Name
Address *
Address 2
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newsletter	Please send me the email newsletter
Comments or Special Needs
Age *
Dietary Needs	Vegan Gluten Free Dairy Free All our meals are vegetarian. We have vegan and gluten free options available as needed. Please use question #2 if you have additional allergies.
Dietary Notes	We are able to provide Vegan and Gluten Free alternatives. If you have other allergies, we will make sure food is labelled. Please indicate additional food allergies. Please contact us with questions
Emergency Contact Info *
Retreat practice can be physically and emotionally rigorous, please let us know any physical, mental or emotional conditions that might impact your participation. *	Please feel free to contact us with any questions or concerns
How did you hear about this program?
Are you currently taking any medications? If yes, please specify. *	Please let us know exactly what kind of medication you are taking.
Meditation Experience *	Do you have a meditation practice? How long have you been meditating?
Is this your first retreat at Great Vow? *	No Yes
Retreat Experience *	Please describe any meditation retreat experience you have
Work Skills	Please list work skills that you have (carpentry, sewing, gardening, landscaping, videography)
Pronouns you use
Which dorm assignment(s) suits your gender? If you are open to more than one type of dorm, please select all that apply. *	Female Dorm Male Dorm All-gender Dorm

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Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*