Summer Meditation Teacher Retreat & Meditation Teacher Training Program
Application & Liability Release

HISTORIC KENT MANOR INN, STEVENSVILLE, MARYLAND, JULY 11-15, 2018

AND ONLINE MEDITATION TEACHER TRAINING & CERTIFICATION

PLEASE COMPLETE THE FORM BELOW

 
Name *
Name
Name of Co-applicant *
Name of Co-applicant
(Each school is required to have 2 participants)
Second Co-applicant *
Second Co-applicant
Phone *
Phone
Meditation/Mindfulness Experience *
Do you have an active meditation practice at present? *
Have you done any meditation retreats? *
Are there any reasons (personal, psychological, medical) that would make participation difficult? *
Personal Statement
Tell us about yourself!