• Retreat Registration Form

  • PLEASE NOTE THAT THE RETREAT IS FULL. Please add yourself to the waitlist. Fill out the form as usual, but select "Waitlist" for your Housing Choice, and do not submit a payment. We will notify you via e-mail if a spot becomes available for you.

     

    Use this form to register for the following retreat:

    EMBRACING THE INNER CHILD WITH MINDFULNESS: The Art of Cultivating Compassion and Happiness

    Friday June 14 - Wednesday June 19​, 2019

    A Mindfulness Retreat with Anh-Huong Nguyen and Thu Nguyen

    Prindle Pond Conference Center, Charlton, MA

    More information can be found on the retreat website.

  • Personal Information

  •  -

  • Accomodations

  • PLEASE NOTE THAT THE RETREAT IS FULL. Please add yourself to the waitlist by selecting "Waitlist" for your Housing Choice.

  • Sorry, but the housing choice you selected is sold out. Please choose a different option.

  • Mindfulness Experience

  • Supporting the Retreat

  • Volunteer for Tasks

    The retreat needs support in several areas. Please indicate if you have interest in helping with any of the following tasks. Training will be provided. Note that some tasks require you to arrive to the retreat early. As the retreat gets closer, someone will be in contact with you regarding this support.

  • Donations

    Donations are also appreciated. Our donations support the teachers or pay for scholarships. If you would like to donate, please enter the amounts in the boxes below, and it will be added to your total.

  • Payment Preference

  • Based on your selections, you owe:

    Accomodation ${housingChoice}
    Donation for Scholarship  ${donSchol}
    Donation for Teachers  ${donTeach}
    Total  ${totalOwed}

    You owe a total of ${totalOwed}. Please write this number down as you will need it to complete payment later.

  • Based on your selections, you owe:

    Accomodation ${housingChoice}
    Donation for Scholarship  ${donSchol}
    Donation for Teachers  ${donTeach}
    Financial Assistance -${finAssist}
    Total  ${totalOwedFA}

    You owe a total of ${totalOwedFA}. Note that this amount assumes confirmation of the requested financial assistance. Please write this number down as you will need it to complete payment later.

  • To pay by credit card, please submit this registration form, then return to the retreat website to complete payment.

  • To pay by check, please submit this registration form, then mail a check to the address below. Please make the check payable to Mindfulness Practice Center, Inc., and include retreatant name on the memo line of your check.

    MPC Treasurer
    PO Box 848
    Norwich, VT 05055

  • Submit Registration

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