register

This is the registration form I used in Guatemala. Contact the new owner, Ajna, to arrange a retreat.

  • Determine a date for your retreat that would work for you and, if possible, an alternate date
  • Respond to the questionnaire
  • Reserve your dates with a deposit or full payment.
Questionnaire:
  1. Retreat date:___________  Alternate:___________
  2. Name:
  3. Email address:
  4. Phone:
  5. Resident or Traveler?
  6. Originally from:
  7. Age:
  8. Emergency contact name, email, and phone:
  9. How did you first hear about darkness retreating?
  10. How did you first hear about my darkroom?
  11. Why would you like to retreat?
  12. Have you read the retreat manual? If not, please do so.
  13. How does the menu sound to you?
  14. What concerns or fears do you have about retreating?
  15. Assuming I am correct that practically everyone is psychotic, do you think darkness might significantly affect you for the worse? If so, how?
  16. Would you like to maintain silence during your retreat?
  17. Anything else you would like to add?

Leave a Reply

Your email address will not be published. Required fields are marked *

*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>