Sample #1

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1 Primary Primary Guest Registration
2 Additional Guests
3 Terms & Conditions
4 Payment
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Sample #2

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1 Introduction
2 Personal Information
3 Medical & Psychological
4 Terms & Conditions
5 Payment

Big Bear Retreat Center
Two Week Silent Retreat

Summer 2019

(July 6, 2019 - July 20, 2019)

Please join us for this very special retreat in the mountains of Big Bear, CA from July 6th-20th.

An extended period of retreat offers the rare opportunity for sustained and dedicated practice. This retreat emphasizes quieting the mind, opening the heart, and developing profound clarity and depth of insight practice. For the entire retreat, we are committing to The Eight Precepts, which are simple training tools that can be helpful in establishing a continuity of mindfulness.

Most of the retreat is held in silence with periods of sitting and walking meditation. There are also teaching talks, guided meditations, time for questions and answers, and practice meetings with a teacher.

Come join us in this silent and mindful environment where awareness sharpens, the mind settles, and space opens for insight and understanding to develop.

Trudy Goodman and Jack Kornfield will be joining this retreat to share teachings on July 12 & 13th. They will also be guiding the teaching team.

If you have additional questions about this retreat, feel free to email support@insightla.org.

Application/Registration Form
Housing assignmentHousing assignments are made according to gender identity. Please choose from the following:

Age Diversity

Year of Birth

Gender Diversityplease pick one
I identify asOPTIONAL: Please select any that apply. Your selection helps us to improve diverse representation at this retreat.
Dietary Restrictions?
Volunteer opportunitiespick any that you would be interested in
Carpools / RidesharingWould you be interested in offerring a ride, or being part of a rideshare?
Is this your first silent retreat?
Do you have a teacher who is most familiar with your meditation practice?
May we contact your teacher?
Medical & Psychological Questions
Do you have any history of physical illness or limitations that might be aggravated by or interfere with sitting and walking meditation?
Do you have any physical limitations that would prevent you from participating in the daily work period?
Therapist or PsychiatristMeditation retreats can at times be psycologically and emotionally stressful. In the event of a psychological emergency, do you have a therapist or psychiatrist that we may contact?

How well do you handle stress in your life? Are there recent circumstances (eg. loss of a loved one, illness, fasting, substance abuse, prolonged depression) or past history (eg. serious attempt to take your life) that might affect your retreat? 

Do you have any experience from past retreats or from stressful psychological challenges you have faced that would help you work with these issues?

Have you ever been on an anti-psychotic or mood stabilizer medication? If so, please list (e.g. Haldol, Zyprexa, Seroquel, Risperidal, Geodone, Abilify, Navane, Latuda, Vraylar) and provide dose level. (Type "N/A" if not applicable)

Are you CURRENTLY taking any anti-psychotic or mood stabilizer medication? When were you last on it? (Type "N/A" if not applicable)

Have you ever been on an anti-anxiety medication (e.g. Xanax, Clonopin, Ativan, Valium)? If so, please list and provide dose level. (Type "N/A" if not applicable)

Are you CURRENTLY taking any anti-anxiety medication? When were you last on it? (Type "N/A" if not applicable)

Intensive meditation may affect how your body and mind interact with medications, herbal or other treatments. Please consider consulting your health care provider to determine any potential complications. If it is helpful to advise us regarding your medications/supplements — so that we can address any needs or circumstances that may arise — please list them and the daily dosage (type "N/A" if not applicable):

Is there anything else you think we should know?

Please contact our Retreat Manager with any questions or concerns.

Terms & Conditions
Limited SpaceSpace is limited. Submitting this online registration form does not guarantee a spot. Spaces are offerred on a first-come first-served basis. Once registration is full, applicants will be automatically placed on a waiting list in the order in which they registered. If you are unable to attend due to the retreat being oversubscribed, your depost will be refunded at your request.
Photography ReleaseI hereby grant permission to Insight Adventures LLC / Big Bear Retreat Center / InsightLA to use photographs and/or video of me taken during the Winter Retreat in publications, news releases, online, and in other communications related to the mission of Insight Adventures LLC / Big Bear Retreat Center.
Waiver & ReleaseI acknowledge that I have voluntarily agreed to participate in the Retreat offered by Insight Adventures LLC / InsightLA, to be held at Big Bear Retreat Center in Big Bear, California. I realize that all activities at Big Bear Retreat Center are voluntary and entirely at my discretion. These may include activities such as a daily work period, movement classes and nature walks. I am also aware that this retreat will take place in a rural / wilderness setting, at a 7,000 foot elevation, and that there may be risks involved in moving about in this terrain. I hereby assume all risks of injury to me and my property that may be sustained in connection with activities undertaken while at this retreat. I am also aware that, in the case of a silent meditation or contemplative retreats, participants may experience intense psychological, spiritual and/or physical states of mind and body arising from the meditation and associated retreat activities. If applicable, I am voluntarily participating in these activities with full knowledge of the risks involved. I will not hold or attempt to hold InsightLA or Big Bear Retreat Center or Insight Adventures LLC or any of its Owners, Officers, Employees, Agents, Consultants, and/or Advisors, liable for any loss, damage or injury to person or property caused by any act or neglect of other persons on or about the property, or caused in any manner other than the willful misconduct of InsightLA or Insight Adventures LLC, its agents and employees, and will indemnify and hold Insight Adventures LLC and its Owners, Officers, Employees, Agents, Consultants, and/or Advisors harmless from any liability for damages or claims against InsightLA or Insight Adventures LLC or its Owners, Officers, Employees, Agents, Consultants, and/or Advisors arising out of or in any way related to any such loss, damage or injury. I release Insight Adventures LLC, including its owners, officers, employees, agents, consultants, and/or advisors from my physical injury, including death, or illness while at the property. I will assume the risk associated therewith, whether known or unknown to me at this time. This release is also intended to include all claims of my family, estate, heirs, personal representatives or assigns. IF I AM UNDER AGE 18, MY PARENT OR GUARDIAN, BY SIGNING BELOW, ALSO CONSENTS TO MY RELEASE AND HE OR SHE AGREES THAT THIS RELEASE SHALL BE BINDING UPON HIM OR HER AS MY PARENT OR GUARDIAN AS TO ME AND MY ESTATE, HEIRS, PERSONAL REPRESENTATIVES AND ASSIGNS. MY PARENT OR GUARDIAN ALSO PROMISES, BY SIGNING BELOW TO DEFEND, INDEMNIFY AND HOLD INSIGHTLA and INSIGHT ADVENTURE LLC HARMLESS FROM ANY CLAIM ASSERTED BY ME AGAINST INSIGHTLA OR INSIGHT ADVENTURES LLC, INCLUDING ITS OWNERS, OFFICERS, EMPLOYEES, AGENTS, CONSULTANTS, AND/OR ADVISORS, IF I SHOULD REPUDIATE THIS RELEASE AFTER OBTAINING ADULTHOOD. I have read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and InsightLA and Insight Adventures LLC at Big Bear Retreat Center.

Please contact our Retreat Manager with any questions or concerns.

Payment

Housing Selection (Base Cost)

Options are available for a shared room with shared bath, a single room with shared bath, and a single room with private bath. The fee structure for this retreat breaks down accordingly. Limited space is available for all single rooms and will be assigned on a first come first serve basis. No housing accommodation is guaranteed until final confirmation from the Retreat Manager. Register with your first option, and if we are unable to accommodate, we will let you know what housing options are still available and, if acceptable, charge you the appropriate price. 

Pay What you Can Lottery - Amount You Can Pay

Our "Pay What You Can Lottery" is available for those individuals who are unable to afford this retreat but would still like to attend. This means a certain number of retreatants who apply will be selected at random and can establish their own retreat fee based on their financial ability. If you chose you enter the lottery, you will not be guaranteed a spot unless selected in the lottery drawing. We’ll be informing lottery recipients of their status by Monday, June 3rd. Please pay at the highest-level you can comfortably afford. The amount you indicate will not affect your lottery chances. If your application is approved and you are selected in the lottery, your card will be charged automatically.

Additional Donation

Please note payment at the “Base” rate covers just what is needed to hold the retreat. For those able to offer more, your donation goes directly to our special funding and helps make these teachings available to as many people as possible. Please pay at the highest-level you can comfortably afford. 

$ [field109+field111+field120]
Stripe Card Placeholder
Apply

PLEASE NOTE: Because this retreat requires an approved application, your credit card will not be charged until your application has been reviewed and approved by the Retreat Manager. If you have chosen to enter the "Pay What You Can Lottery," you will not be charged unless you are granted a spot through the lottery, and your application is approved. 

OTHER WAYS TO PAY 

Please contact our Retreat Manager to make alternate arrangements.


REFUNDS & CANCELLATIONS


Before May 5                  $250 Cancellation Fee

May 5 - June 1                 $375 Cancellation Fee

June 2 - June 22              $500 Cancellation Fee

June 23 - July 7               No refunds or credit given



ADDITIONAL FINANCIAL SUPPORT 

We're dedicated to creating a safe and welcome, open and equitable community that stands firmly against all racial, gender, economic, or religious bias. We are committed to providing opportunities for all people to participate in our programs.

We offer easy payment plans and reduced or waived fee opportunities.There is special funding allocated to People of Color (POC), Queer people, people with disabilities, and young adults (age 18-24). Funding is offered on a first-come, first-serve basis. Financial support is budgeted per class, retreat or event and because of high demand, can run out quickly.

Please click HERE to fill out the support form and our office team will follow up with you in 3 - 5 business days.

Please contact our Retreat Manager with any questions or concerns.

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Sample #3

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1 Introduction
2 Registration Form
3 Terms & Conditions
4 Payment

Big Bear Retreat Center
Two-Week Retreat

Summer 2019

(July 6, 2019 - July 20, 2019)

Please join us for this very special retreat in the mountains of Big Bear, CA from July 6th-20th.

An extended period of retreat offers the rare opportunity for sustained and dedicated practice. This retreat emphasizes quieting the mind, opening the heart, and developing profound clarity and depth of insight practice. For the entire retreat, we are committing to The Eight Precepts, which are simple training tools that can be helpful in establishing a continuity of mindfulness.

Most of the retreat is held in silence with periods of sitting and walking meditation. There are also teaching talks, guided meditations, time for questions and answers, and practice meetings with a teacher.

Come join us in this silent and mindful environment where awareness sharpens, the mind settles, and space opens for insight and understanding to develop.

Trudy Goodman and Jack Kornfield will be joining this retreat to share teachings on July 12 & 13th. They will also be guiding the teaching team.



WHAT TO EXPECT

RETREAT SCHEDULE

The daily rhythm of a retreat usually involves alternating periods of sitting and walking meditation, nature walks, meals and tea, as well as practice meetings, dharma talks and time for rest. The first sitting usually begins before breakfast. Each morning the teachers offer continuing meditation instructions for the day. The whole retreat is a succession of mindfulness trainings, breathing practices, deep awareness of the body and environment, meditations on the nature of feelings, and awareness of the mind that come from the Buddhist Insight Meditation tradition.

SITTING MEDITATION

Sitting meditation is at the heart of silent retreats. In sitting practice stillness develops, concentration deepens, and awareness expands. The training of the heart brings kindness and compassion for all that arises. We come into presence and learn to find freedom in the midst of life as it truly is.

WALKING MEDITATION

Walking gracefully and wisely on the earth is also a way to practice meditation. On retreat, periods of walking meditation alternate with periods of sitting meditation. Through walking practice, we learn to sustain meditative awareness through movement. In walking meditation, we become aware in the midst of activity. Throughout the retreat we learn to cultivate a mindful awareness in all postures, sitting, walking and lying down.

EATING MEDITATION

An awareness of food, and the mindful understanding of the entire process of nourishment and eating is included in the practice at retreats. Retreatants are encouraged to bring the same calm, focused attention to eating as is brought to sitting and walking. Mindful eating is a wonderful context for the arising of insights. Every bite of food we eat contains, rain, sun, earth and the work of many, many beings.

GUIDED MEDITATIONS & DHARMA TALKS

Each day, the teachers present a different set of teachings that are central to practicing mindfulness and compassion. These teaching can be applied to our own experience. Sometimes the talks focus on retreat practice, and sometimes they offer teachings for wise living in the world.

MEALS

The Sixth Precept holds, “I undertake the training to refrain from eating at the wrong time (i.e. after lunch).” This training can be a powerful tool in helping to establish a continuity of mindfulness.

In observing the Eight Precepts on this retreat,  two healthy vegetarian meals will be provided for participants along with only a light snack (fruit, crackers, peanut butter) in the evening.  Dietary restrictions are accommodated whenever possible.

That said, we fully encourage all participants to generously take care of themselves in whatever way is best for their body and practice. Individuals who may not be able to commit to The Sixth Precept are more than welcome to bring their own food as needed. Each housing residence is equipped with a refrigerator and cabinets for storage.

YOGI JOBS

Participation in this retreat will involve a light working meditation to support the community experience.  When you arrive you will be assigned a daily task to complete with mindful attention. Please let us know if you have any physical challenges that might impact your ability to perform certain tasks.  Please also bring long pants, closed toe shoes, and a shirt that you can change into in the event you are assigned a yogi job in the kitchen. 

ACCOMMODATIONS

More detailed information about the Big Bear Retreat Center will be sent to registrants as the date approaches.

There are a limited number of single rooms available with a private bath, and single rooms available with a shared bath. Otherwise, the majority of the rooms are shared rooms with shared baths.

TRANSPORTATION

Big Bear Retreat Center is located approximately 2.5 hours from Los Angeles. The closest airports to the center are LAX, Hollywood Burbank Airport, and Ontario Airport. InsightLA will be sending out a carpool list as the retreat approaches, so there will be an opportunity to connect with your fellow participants to organize rides from airports and surrounding areas. 

There is also an Enterprise Rent-A-Car located just 10 minutes from the retreat center. If you choose to rent a car and drop it off at this location, someone at the retreat center can pick you up from there on arrival day as well as drop you off on departure day.

If you have additional questions about this retreat, feel free to email support@insightla.org.

Before May 5                  $250 Cancellation Fee

May 5 - June 1                 $375 Cancellation Fee

June 2 - June 22              $500 Cancellation Fee

June 23 - July 7                No Refunds or Credit Given.

RATES

Options are available for a shared room with shared bath, a single room with shared bath, and a single room with private bath. The fee structure for this retreat breaks down accordingly. Limited space is available for all single rooms and will be assigned on a first come first serve basis. No housing  accommodation is guaranteed until final confirmation from InsightLA. Register with your first option, and if we are unable to accommodate, we will let you know what housing options are still available and refund you the difference.

Please note payment at the “Base” rate covers just what is needed to hold the retreat. For those able to offer more, your donation goes directly to our special funding and helps make these teachings available to as many people as possible.

FINANCIAL SUPPORT

At InsightLA, we’re dedicated to creating a safe and welcome, open and equitable community that stands firmly against all racial, gender, economic, or religious bias. We are committed to providing opportunities for all people to participate in our programs. We offer easy payment plans and reduced or waived fee opportunities.

SPECIAL FUNDING

There is special funding allocated to People of Color (POC), Queer people, folks with serious medical conditions, and young adults (age 18-24). Funding is offered on a first-come, first-serve basis. Financial support is budgeted per class, retreat or event and because of high demand, can run out quickly.

PAY WHAT YOU CAN LOTTERY

If you don’t qualify for our special funding, a PAY WHAT YOU CAN Lottery is also available for those individuals who are unable to afford this retreat but would still like to attend. This means a certain number of retreatants who apply will be selected at random and can establish their own retreat fee based on their financial ability. Click HERE to enter the lottery.

We only have online registration for a lottery. In an effort to save the planet's trees, we do not provide a link to a downloadable form. If you don’t have access to the web, call us at 310-450-1821.

The deadline to register for the lottery is May 26. We’ll be informing lottery recipients of their status by Monday, June 3rd. Lottery winners will have 48 hours after they are notified to register online and pay their established retreat fee.

If you have any questions about special funding please contact us at financialsupport@insightla.org



Registration Form
Housing assignmentHousing assignments are made according to gender identity. Please choose from the following:
Age Groupplease pick one
Is this your first silent retreat?
What is your seating preference?
Do you have any special needs?please check all that apply
I identify asPlease select any that apply
Dietary Restrictions?
Volunteer opportunitiespick any that you would be interested in
Carpools / RidesharingWould you be interested in offerring a ride, or being part of a rideshare?
Is there anything else you think we should know?

Please contact our Retreat Manager with any questions or concerns.

Terms & Conditions
Limited SpaceSpace is limited. Submitting this online registration form does not guarantee a spot. Spaces are offerred on a first-come first-served basis. Once registration is full, applicants will be automatically placed on a waiting list in the order in which they registered. If you are unable to attend due to the retreat being oversubscribed, your depost will be refunded at your request.
Photography ReleaseI hereby grant permission to Insight Adventures LLC / Big Bear Retreat Center / InsightLA to use photographs and/or video of me taken during the Winter Retreat in publications, news releases, online, and in other communications related to the mission of Insight Adventures LLC / Big Bear Retreat Center.
Waiver & ReleaseI acknowledge that I have voluntarily agreed to participate in the Retreat offered by Insight Adventures LLC / InsightLA, to be held at Big Bear Retreat Center in Big Bear, California. I realize that all activities at Big Bear Retreat Center are voluntary and entirely at my discretion. These may include activities such as a daily work period, movement classes and nature walks. I am also aware that this retreat will take place in a rural / wilderness setting, at a 7,000 foot elevation, and that there may be risks involved in moving about in this terrain. I hereby assume all risks of injury to me and my property that may be sustained in connection with activities undertaken while at this retreat. I am also aware that, in the case of a silent meditation or contemplative retreats, participants may experience intense psychological, spiritual and/or physical states of mind and body arising from the meditation and associated retreat activities. If applicable, I am voluntarily participating in these activities with full knowledge of the risks involved. I will not hold or attempt to hold InsightLA or Big Bear Retreat Center or Insight Adventures LLC or any of its Owners, Officers, Employees, Agents, Consultants, and/or Advisors, liable for any loss, damage or injury to person or property caused by any act or neglect of other persons on or about the property, or caused in any manner other than the willful misconduct of InsightLA or Insight Adventures LLC, its agents and employees, and will indemnify and hold Insight Adventures LLC and its Owners, Officers, Employees, Agents, Consultants, and/or Advisors harmless from any liability for damages or claims against InsightLA or Insight Adventures LLC or its Owners, Officers, Employees, Agents, Consultants, and/or Advisors arising out of or in any way related to any such loss, damage or injury. I release Insight Adventures LLC, including its owners, officers, employees, agents, consultants, and/or advisors from my physical injury, including death, or illness while at the property. I will assume the risk associated therewith, whether known or unknown to me at this time. This release is also intended to include all claims of my family, estate, heirs, personal representatives or assigns. IF I AM UNDER AGE 18, MY PARENT OR GUARDIAN, BY SIGNING BELOW, ALSO CONSENTS TO MY RELEASE AND HE OR SHE AGREES THAT THIS RELEASE SHALL BE BINDING UPON HIM OR HER AS MY PARENT OR GUARDIAN AS TO ME AND MY ESTATE, HEIRS, PERSONAL REPRESENTATIVES AND ASSIGNS. MY PARENT OR GUARDIAN ALSO PROMISES, BY SIGNING BELOW TO DEFEND, INDEMNIFY AND HOLD INSIGHTLA and INSIGHT ADVENTURE LLC HARMLESS FROM ANY CLAIM ASSERTED BY ME AGAINST INSIGHTLA OR INSIGHT ADVENTURES LLC, INCLUDING ITS OWNERS, OFFICERS, EMPLOYEES, AGENTS, CONSULTANTS, AND/OR ADVISORS, IF I SHOULD REPUDIATE THIS RELEASE AFTER OBTAINING ADULTHOOD. I have read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and InsightLA and Insight Adventures LLC at Big Bear Retreat Center.

Please contact our Retreat Manager with any questions or concerns.

Payment

Pay What You Can

Congratulations on being selected for the Pay What You Can Lottery! Please enter the amount that you can pay for this retreat, below. Please pay at the highest-level you can comfortably afford. NOTE: Pay What You Can Lottery winners are automatically assigned a shared room / shared bathroom, unless there is a need otherwise (in which case you should contact the Retreat Manager). 

Additional Donation

Please note payment at the “Base” rate covers just what is needed to hold the retreat. For those able to offer more, your donation goes directly to our special funding and helps make these teachings available to as many people as possible. Please pay at the highest-level you can comfortably afford. 

$ [field115+field111]
Stripe Card Placeholder
Apply


We offer easy payment plans and reduced or waived fee opportunities. There is special funding allocated to People of Color (POC), Queer people, people with disabilities, and young adults (age 18-24). Funding is offered on a first-come, first-serve basis. Financial support is budgeted per class, retreat or event and because of high demand, can run out quickly. Please click HERE to fill out the support form and our office team will follow up with you in 3 - 5 business days.





Please contact our Retreat Manager with any questions or concerns.

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