Application Form for DNE Retreat1

'DEALING WITH NEGATIVE EMOTIONS' RETREAT
APPLICATION FORM

July 7-13, 2019

GROUND RULES

Participants shall have to observe silence during the whole course of the retreat.
Participants shall not be allowed to leave the process in between. It is essential to join the retreat on Day 1 and complete the same on Day 7.
Participants shall not be allowed to stay outside or leave the retreat venue during the course of the retreat.
Participants shall have to switch off and handover their mobile phones and other gadgets so as disconnect from the world.
No Smoking. No Drinking. No Tobacco. Any participant found breaking this rule shall be asked to leave the retreat with immediate effect.

* Indicates required field

Name *

First

Last

Email *

Mobile Number *

GENDER *

Male Female

Occupation *

Student Working Professional Self-Employed Other

Date of Birth (DD/MM/YYYY) *

Base Location (City & State) *

Accommodation Preference during the Retreat *

Single Room Accommodation: Rs 12,700 per participant Twin Sharing Accommodation: Rs 10,250 per participant Dormitory Accommodation: Rs 7,800 per participant

Upload your latest Photograph *

Max file size: 20MB

How did you come to know about us (In case of 'a friend', kindly mention the name)? *

Kindly share about the challanges that you are facing in your present life journey. *

Do you have any experience with Meditation or Silence? If yes, kindly share the details. *

How do you think this retreat shall help you in leading your life better? *

Submit

'DEALING WITH NEGATIVE EMOTIONS' RETREAT APPLICATION FORM

GROUND RULES

'DEALING WITH NEGATIVE EMOTIONS' RETREAT
APPLICATION FORM