Name that you go by:
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First Name
Last Name
Nicknames
Pronouns
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Email
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Phone Number
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Age
Occupation
Emergency Contact
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Relationship
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Emergency Contact Phone Number
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Register to attend ONLINE only. (On Land registration is now closed)
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You must be able to attend the full retreat (no partial attendance)
Lotus Insight Sangha accepts our payments via PayPal. Please pay your retreat fee here *
No refunds after February 27th, 2025
If you are requesting a scholarship, how much are you requesting?
How did you hear about the retreat?
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Please share here about yourself in regards to race, gender, class, sexual orientation, disability, or anything else you'd like us to know about your experiences.
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Have you attended an online retreat before?
During the retreat, we may need to contact you about tech or zoom issues. What is your preferred form of communication during the retreat?
We will be using Zoom to host the online retreat space and providing closed captioning support via otter.ai. We would like to get a sense of how many retreatants will be needing this support. Do you plan on using closed captions?
Do you have any digital accessibility concerns or needs you would like us to know about?
Do you need or can you offer carpool access?
We are coordinating masked carpool access for the beginning and end of the retreat.
Covid Guidelines
We offer these protocols in the spirit of valuing all life as sacred. We hope these guidelines can keep us all safe and well as we come together to practice and overcome this time of collective challenge together. Please review our
2025 guidelines for COVID safety.
Fragrance Guidelines
In an effort to be inclusive and practice compassion, we request that all participants who attend this LIS retreat to please refrain from wearing scented products during and in preparation for this retreat, including laundering all items that will be worn at the retreat so that fragrances do not linger. It will require a special kind of mindfulness as so many products contain scents and fragrances to which those of us who are healthy have become inured. Please don’t rely on your own nose.
We are working to create environments where the most-impacted individuals can stay and benefit from the retreat. Many have difficulty breathing, and symptoms due to allergies, asthma or other chemical sensitivity which make gathering difficult when fragrances are present. To find out more about why and how to be fragrance free check out the
East Bay Meditation Center's website
Do you have any accessibility concerns or needs you would like us to know about?
Please include any dietary, mobility, sensory needs, etc. Meals during the retreat are vegetarian and made camp style. We may not be able to meet all of your dietary needs, and will coordinate with you personally if the need arises.
Top Choice:
Second Choice:
Third Choice:
Given the diversity of our sangha, we will try our best to meet everyone's accommodation preferences. Please let us know if you have specific needs or considerations that extend beyond the style of cabin you prefer for the retreat.
This could include things like proximity to the Zendo, roommate preferences, etc
Do you have any questions, or is there anything else you'd like to communicate to the volunteer management team?
Would you l like to volunteer to help make future retreats possible?
Please list the dates and teachers of previous Vipassana retreats that you have attended.
Please list the dates and teachers of retreats you have attended intraditions or practices other than Vipassana.
Describe your current spiritual practice, if any.
Please describe any physical or psychological conditions that might make meditation practice difficult for you.
Please list any medications you are currently taking.
Please include anything else you'd like the teachers to know about you to help them guide your practice during this retreat.
