Silent retreat application form Your first and last name Your email Your phone number (mobile) Your address Special dietary requirements Current physical activities How did you first hear about us? Please give details (how long, how often, what style, etc.) about your yoga and meditation background and you current practice. Mention any meditation retreat you have attended, whether silent or not. Please mention any relevant medical history (including any serious injuries in the past, whether fully healed or not) Do you have any history of depression or any other mental health condition? If to please give details Are you currently on any medication? If to please give details What are you hoping to get out of this course? Can we add your email to our mailing list? We send about six newsletters per year with news from the farm and special offers on our courses. You can unsubscribe at any time. We will not share your email address with anyone. No thanksYes please I agree with the Terms and Conditions Apply now
