Registration for Retreat with Zm. Rebecca Nie

Please Complete the Fields Below

First name(s)

Last name

Please choose the appropriate rate for your situation

Standard feeNOK 750

Member feeNOK 550

Supporter feeNOK 950

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Name of emergency contact

Emergency contact phone number

Relationship of emergency contact

Medically required dietary restrictions

Participants with non-medical dietary restrictions may need to arrange their own meals. Please contact us in advance.

For meditation, I would like to use the following:

Meditation cushions (floor)

A chair

I will bring my own

Other

Please indicate any special needs or other important information

I have read and agree to the Cancellation & Refund Policy.

I have read and agree to the Health & Well-being Policy.

I consent to being photographed and to Dohasa Zen Group using these images on its website and social media.

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