Vajraloka Work Retreat

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1 Welcome

2 Your details

Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Gender *
Do you have any Diet Requirements? *	No Yes We offer a well-balanced vegan diet. If you have diet restrictions for genuine medical needs please provide information below.
Diet Requirements	To assist our cooks, please restrict requirements to absolutelly essencial items only.
Restricted Diet Notes	Please share any further details you'd like us to know about your diet requirements.
Any Health Information We Need to Be Aware of? *	No Yes Are there any physical, emotional or mental health issues which could affect your participation in the retreat? If you have questions or concerns, please contact us.
Health Information Notes	All information is confidential and will only be communicated to the retreat team, so they can best support you on the retreat.
What is your Triratna Buddhist Community Experience? *
Please tell us more about your meditation experience *
Emergency Contact Information *	Please give a name and phone number of someone we could contact on your behalf in case of an emergency.
How will you be arriving at Vajraloka? *
Alternative way of arriving
Your car plate/registration number
Vajraloka News *	I would like to receive Vajraloka’s quarterly newsletter and very occasional other news by emailWe won't fill your inbox with our emails, promise!
Terms and Conditions *	I accept the Vajraloka terms and conditions.Please read the terms and conditions
Booking and Cancellation Policy *	I understand Vajraloka's booking and cancellation policyRead our booking and cancellation policy here.
How did you hear about us?
Gift Aid - for UK tax payers only *	I am a UK taxpayer and would like Vajraloka (FWBO CORWEN) to reclaim the tax on all donations I have made in the last four years and for all future gifts of money that I make to be Gift Aid donations.With Gift Aid, any donations you make will be worth 25% more at no extra cost to you. You must be a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all of your donations across all Charities, it is your responsibility to pay any difference.
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3 Donate to our Bursary Fund

£	Give the Gift of a Retreat Help others who can’t afford to come on retreat. Could you make a donation towards our bursary fund? Donations go directly to helping others get on retreats at Vajraloka.

4 Payment

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