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Winter Gathering Registration

This year, Miri Piri Academy will host a special Winter Gathering this December. Now is the chance to celebrate and meditate together on the ancestral land of Guru Hargobind ji during this most powerful time of the year.

Our 5 day camp program will begin with a special dinner and welcome on the evening of December 17th. The last day of classes will be December 22nd.

Attendee Information

First Name (Legal)^*

Last Name (Legal)^*

Spiritual Name (if different)

Email^*

Phone Number^*

Country^*

Gender^*

Date of Birth^*

Format: Day-Month-Year

Dietary Restrictions

Our meals are lacto-vegetarian. Please let us know if your child(ren) have any dietary allergies or restrictions.

Medications

Please list any medications that your child(ren) are currently taking. Please bring an extra 1 weeks supply for unforeseen travel delays.

Roommates

Please list the name(s) of other attendees you'd like to room with.

Family Accommodations

Please let us know how many people are in your family group, and what their names are.

Emergency Contact Name^*

Emergency Contact Phone Number^*

Emergency Contact Email^*

Emergency Contact Relation^*

Relationship to the attendee

Camp Interests

Are there any specific yoga or meditation topics you would like to have classes on?

Let us know if you are interested in teaching or sharing a skill, and in what area.

Covid

Covid Vaccine and Mask Protocol^*

We do not require anyone to be vaccinated or wear a mask while on campus.

Attendees should bring masks in case we visit any locations that do require masks to be worn.

Child Information

Please fill out the following information if you are bringing children.

All children 17 and younger can attend the event for free! Anyone aged 18 or older must fill out their own registration form.

There will be some children's activities and a play area. These will be developed based on the number and ages of children who attend, which we will discuss with all registered parents.

Legal First Name (Child 1)

Legal Last Name (Child 1)

Spiritual Name (Child 1)

Age (Child 1)

Gender (Child 1)

Legal First Name (Child 2)

Legal Last Name (Child 2)

Spiritual Name (Child 2)

Age (Child 2)

Gender (Child 2)

Legal First Name (Child 3)

Spiritual Name (Child 3)

Age (Child 3)

Gender (Child 3)

Payment

Refund Policy^*

I understand the refund policy

A full refund is payable up to 30 days before the start of event, and is 75% refundable less than 30 days before the start of the event.

Fees

Mandatory Fees
	Winter Gathering Registration Fee	654
	Total	654.00