Register for a Meditation Course or Retreat

Only a few of our courses and retreats require a deposit to secure your registration - please check the course outline for details.

Personal Details
Name	*
Nationality	*
Country of current residence	*
E-mail	*
Date of birth	*
Ordained (monk/nun)? How long?	*
Gender	Female Male
Do you have a psychiatric history (Give details)	*
Are you on any medication (Give details)	*
Previous Experience
When was your first Buddhist teaching?	*
Buddhist course/retreat experience (dates, topics, teachers, locations)	*
Your religious/Buddhist tradition	*
Course/Retreat Registration
Which course/retreat do you wish to attend?	*
Preferred arrival date	*
Preferred departure date	*
Preferred accommodation (subject to availability)	*
Have you forwarded a deposit? If so, where to and how much?	*

Are you registering for an intermediate course?	Yes No
Have you read the course details?	Yes No
Do you meet the pre-requistites for this course?	Yes No
Other Information
How did you first learn about Root Institute?
How did you first learn about this particular course/retreat?
Additional comments

Spiritual Programme

Personal Details