Fall Middle School Meditation Series (TE6C26)

Important Note: Parents, if you are registering your child, please be sure to put your child's name in all the registration fields, not your name. You may enter your payment details with your name in the Payment section. You will also need to register each child separately!

* These fields are required

1 Welcome

2 Price

Please consider paying at the highest rate that you can afford: your generosity enables us to offer scholarships and support teachers.

Any amount paid above the Sustainer rate is a tax-deductible donation to Spirit Rock.

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Benefactor.

The Benefactor rate covers the cost of the program and supports fellow practitioners; tax-deductible portion is the difference between the...

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$240

$240

$240
Benefactor.
The Benefactor rate covers the cost of the program and supports fellow practitioners; tax-deductible portion is the difference between the Sustainer rate and this rate.

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Sustainer.

The Sustainer rate covers the cost of the program. Not tax-deductible.

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$190

$190

$190
Sustainer.
The Sustainer rate covers the cost of the program. Not tax-deductible.

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Basic.

The Basic rate covers a portion of the cost of the program and is partially subsidized. Not tax-deductible.

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$160

$160

$160
Basic.
The Basic rate covers a portion of the cost of the program and is partially subsidized. Not tax-deductible.

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Mudita/Karuna Scholarship Rate.

Contributing at the Scholarship rate - Muditā/Karuṇa Scholarship: Deeply subsidized rate; does not cover program costs; not tax-deductible; Muditā: supports...

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$108

$108

$108
Mudita/Karuna Scholarship Rate.
Contributing at the Scholarship rate - Muditā/Karuṇa Scholarship:

Deeply subsidized rate; does not cover program costs; not tax-deductible;

Muditā: supports any individual who has significant financial need; this includes our low income folks and elders (65+) on fixed incomes;

Karuṇa: supports individuals who have significant financial need and have a serious medical condition, or life-threatening illness.
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BIPOC Scholarship Rate.

Contributing at the Scholarship rate - Dr. Marlene Jones People of Color Scholarship: Deeply subsidized rate; does not cover program...

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$108

$108

$108
BIPOC Scholarship Rate.
Contributing at the Scholarship rate - Dr. Marlene Jones People of Color Scholarship:

Deeply subsidized rate; does not cover program costs; not tax-deductible;

Supports individuals who have significant financial need and who self-identify as Black, Indigenous, and/or a Person of color (BIPOC).
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4 Practitioner Details

Phone *
Preferred or Chosen Name	We want to be respectful in addressing you. Complete if different from legal name; leave blank if not.
What are your pronouns? *
Address line 1 *
Address line 2
City *
State/Province *	This list includes US and Canada, States/Provinces. For all other countries, please select "Other" at the end of this list and then select your country below.
Zip/postal code *
Country *
Birth date *	We ask this for validating your account, for emergency purposes, and rooming for residential retreats. We do not share this information outside of our organization.

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5 Parent/Guardian's Contact Information

Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Relationship to Participant *
Parent/Guardian's Phone Number *
Parent/Guardian's Email Address *	Parent/Guardian(s) the receipt and reminders for this registration will NOT be emailed to this email. It is YOUR CHOICE, if you want to receive all the emails for this program, but you will have to enter your email at the top instead of your child's email. Emails will be sent only to the "registered person's" email.

6 Demographics

Current age *
Gender *
How do you self-identify your gender?
Do you self-identify as BIPOC? *	Yes-BIPOC No-BIPOC Decline to state-BIPOC
Describe your ethnic origin or background *	Type N/A, if decline to state.
Do you self-identify as LGBTQIA+? *	Yes-LGBTQIA+ No-LGBTQIA+ Decline to state-LGBTQIA+
How would you describe your sexual orientation?	Optional.

7 Tell Us More

New to Spirit Rock? *	Yes-new to Spirit Rock No-not new to Spirit Rock
How did you hear about Spirit Rock?
May we share your contact information with the teacher(s) or presenter? *	Yes No

8 Security Check

Security check

9 Payment

Credit Card Fee (non-refundable)	Credit Card Fee Opt-in I agree to cover the credit card processing fees for my registration. I understand that this fee is non-refundable if I should cancel my registration.
3% Credit Card Fee (non-refundable)	$0

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0

Due Now	$0 $0

Remaining Balance	$0

	You will be asked for payment details in the next step. Click the button below to continue.

1 Welcome

2 Price

Select an option*

Benefactor.

Sustainer.

Basic.

Mudita/Karuna Scholarship Rate.

BIPOC Scholarship Rate.

3 Additional Programs

Participants

4 Practitioner Details

5 Parent/Guardian's Contact Information

6 Demographics

7 Tell Us More

8 Security Check

9 Payment