Registration: People of Color Retreat (2019-10-24 - 2019-10-27 )

This event is currently full and we are not allowing for any more registrations at this time. We do apologize for this, but would like to offer you to be added to our Waiting List. Fill out the following form, then if someone cancels their registration, you will be notified and given the opportunity to become an official registrant.

First Name:
Last Name:
Home Phone:
Work Phone:
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Emergency Contact Person:
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Personal Information

This information helps us make your retreat experience as smooth as possible.

Transgendered or gender diverse (e.g. gender fluid, gender queer, agender)  
Year of Birth (YYYY):
Do you snore?:
yes  no  

Meals will be vegetarian with dairy and eggs. We cannot always accommodate special needs. If you have any special dietary needs for health reasons, please explain here.

Special Dietary Needs:
Dairy Free
Wheat Free
Gluten Free
Please explain your special dietary needs::

Please indicate any physical disabilities or special needs to assist in assigning your room.

Special Needs:

Indigenous Peoples and People of Color

As part of TNI's commitment to diversity and equity, we have the intention to increase the participation of People of Color and Indigenous Peoples in our retreats. To help bring this to fruition, we are holding a portion of all retreat spaces for Indigenous Peoples and People of Color (PoC).

Unused slots reserved for Indigenous Peoples and PoC will be released 6 weeks prior to the start date.

So we can support your participation in the retreat of your choice, please make us aware if you self-identify as an Indigenous Person or as a Person of Color.:
Yes  No  

Mailing List

Your name, address, phone number and email address will be entered into our computer database so you can receive information about future retreats.

We do not sell or share our mailing list with other organizations.

Mailing list subscription:
Yes, I would like to be on the mailing list

Meditation Experience

Have you attended a TNI retreat before? :
Yes  No  
Have you attended a retreat elsewhere before?:
Yes  No  
Have you previously practiced insight meditation (vipassana)?:
Yes  No  
Have you practiced any other type of meditation?:
Yes  No  

Ride Share

Ride-sharing is a great way to simplify retreat transportation while being conscious of our impact on the environment

Would you like to participate in ride-sharing?:
Yes  No  


Scholarships are awarded on the basis of financial need only and offer up to a 50% discount off the low rate.

Would you like to apply for a scholarship for this retreat?:
Yes  No  


Please consider making a tax deductible donation, as retreat fees cover only a portion of our total expenses.

Would you like to offer a donation to TNI today?:
yes  no  

Security Code

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