Enroll In Event - IMH Registration

Insight Meditation Residential Retreat with Ginger Clarkson
Thursday, January 24, to Sunday, Jan 27, 2019
Villa De Matel Convent
Send an Email to MeditationHouston@gmail.com if you have any questions or concerns

First name

Last name

Preferred Housing

Format for phone number is xxx-xxx-xxxx Phone

Address Line 1

Address Line 2

City

State

- Two character abbreviation

ZIP

Emergency Contact Name

Emergency Contact Phone

- (Format 111-222-4444)

Meditation Experience

Food Allergies

Health Concerns and special food requests (vegan, vegetarian etc.)

Special Comments

Do NOT click twice or you will be enrolled twice!
If your registration is successful you will be sent to a screen letting you know that you are confirmed. You will also receive a confirmation email.

By clicking on the enrollment link below I am agreeing to the cancellation policy as stated in the retreat flyer:

Enrollment for Ginger - Residential - Jan 2019