UVA Student 1/2 Day with Tenzin Wangyal Rinpoche

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3 Participant Info

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Emergency Contact Name & Phone Number *	Nombre y número de teléfono de contacto de emergencia
Comments or Special Needs	Comentarios o Necesidades Especiales
Are you interested in a private or group Acupuncture treatment or Cranial Sacral Treatment?	Individual private acupuncture or cranial sacral treatments available. 30 min/$60, 60 min/$120. Group acupuncture $30/session
Meal Preference *	We offer 3 healthy meals per day beginning with a dinner the first evening and ending with lunch on the final day of retreat.
Dietary Restrictions or Allergies *	Do you have any special dietary restrictions, allergies, requirements or needs? How can we assist you in meeting your nutritional or other needs?
I agree to support the retreat by donating up to one hour of service/day. Select 1st Choice *	Assignments are conditional upon retreat needs and earlier assignment of others in your desired category. Final assignment occurs during check-in. If you have medical or physical conditions that may affect your ability to participate, please select "I have medical issues and/or physical limitations.
Please choose a second choice for your volunteer preference *
Request Translation if available.
Is this your first time at Serenity Ridge or participating in a Serenity Ridge retreat?	Yes No
How did you learn about this retreat/event?
Voice of Clear Light e-newsletter	Yes, I would like to receive the Voice of Clear Light e-newsletter to stay informed about Ligmincha International.You may unsubscribe at any time.
Serenity Ridge e-newsletter	Yes, I would like to receive the Serenity Ridge e-newsletter to stay informed about events at Serenity Ridge Retreat Center.You may unsubscribe at any time.
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Guest 1		First Name* Last Name* Email* Address* Address DirecciónAddress 2City State/Prov. Zip/Postal Country * Phone Emergency Contact Name & Phone Number* Nombre y número de teléfono de contacto de emergencia Comments or Special Needs Comentarios o Necesidades Especiales Meal Preference* We offer 3 healthy meals per day beginning with a dinner the first evening and ending with lunch on the final day of retreat. Dietary Restrictions or Allergies* Do you have any special dietary restrictions, allergies, requirements or needs? How can we assist you in meeting your nutritional or other needs? I agree to support the retreat by donating up to one hour of service/day. Select 1st Choice* Assignments are conditional upon retreat needs and earlier assignment of others in your desired category. Final assignment occurs during check-in. If you have medical or physical conditions that may affect your ability to participate, please select "I have medical issues and/or physical limitations. Please choose a second choice for your volunteer preference* Is this your first time at Serenity Ridge or participating in a Serenity Ridge retreat? Yes No Voice of Clear Light e-newsletter Yes, I would like to receive the Voice of Clear Light e-newsletter to stay informed about Ligmincha International.You may unsubscribe at any time. Serenity Ridge e-newsletter Yes, I would like to receive the Serenity Ridge e-newsletter to stay informed about events at Serenity Ridge Retreat Center.You may unsubscribe at any time. Emails from Ligmincha International and Serenity Ridge Yes, I agree to receive occasional emails from Ligmincha International and Serenity Ridge Retreat Center about events, programs, and news.You may unsubscribe at any time.
Guest 1		First Name* Last Name* Email* Address* Address DirecciónAddress 2City State/Prov. Zip/Postal Country * Phone Emergency Contact Name & Phone Number* Nombre y número de teléfono de contacto de emergencia Comments or Special Needs Comentarios o Necesidades Especiales Meal Preference* We offer 3 healthy meals per day beginning with a dinner the first evening and ending with lunch on the final day of retreat. Dietary Restrictions or Allergies* Do you have any special dietary restrictions, allergies, requirements or needs? How can we assist you in meeting your nutritional or other needs? I agree to support the retreat by donating up to one hour of service/day. Select 1st Choice* Assignments are conditional upon retreat needs and earlier assignment of others in your desired category. Final assignment occurs during check-in. If you have medical or physical conditions that may affect your ability to participate, please select "I have medical issues and/or physical limitations. Please choose a second choice for your volunteer preference* Is this your first time at Serenity Ridge or participating in a Serenity Ridge retreat? Yes No Voice of Clear Light e-newsletter Yes, I would like to receive the Voice of Clear Light e-newsletter to stay informed about Ligmincha International.You may unsubscribe at any time. Serenity Ridge e-newsletter Yes, I would like to receive the Serenity Ridge e-newsletter to stay informed about events at Serenity Ridge Retreat Center.You may unsubscribe at any time. Emails from Ligmincha International and Serenity Ridge Yes, I agree to receive occasional emails from Ligmincha International and Serenity Ridge Retreat Center about events, programs, and news.You may unsubscribe at any time.

1 Welcome

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3 Participant Info

4 Donate