— Registration form First Name * Surname * Street/Number * ZIP Code * Town * Country * Phone * Email address *
I would like to register for a course/group retreat.
Which course / Which group retreat? Group retreat from until
I would like to register for a single retreat. Single retreat from until
________________________________ Preferred accommodation * Single room Double room Dormitory I would like to share a room with… (this partner or friend should register separately nevertheless, please.)
I am bringing my family along. Names and age of children, name of 2nd parent if applicable)
________________________________ Arriving by… * Car Train
PICK-UP TRAINSTATION OY-MITTELBERG:
Please inform us
a day before by phone about your time of arrival. Should your time of arrival change, please let us know as early as possible. Thank you! Phone: +49 (0)8366 – 98380
__________________________ Buddhist Center * Is it your first visit? Yes No Do you need practice explanations? Yes No What is your meditation practice? *
________________________________ Day of arrival * My first meal at the center on day of arrival: * Breakfast Lunch Dinner none
I am a vegetarian
I would like to receive the newsletter (program, Bergpost, invitations for events – app. 10 mails per year) Yes No
Please remember to let us know if you cannot come!
In case you experience problems sending the form, please check if you filled in all the required boxes marked with an *. They then should be framed in red.
2 + 2 = ? Please prove that you are human by solving the equation *