Fall Middle School Series (TE6C24)

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

Select the sliding scale rate the best suits your circumstances. Please consider paying at the highest rate that you can afford: your generosity supports the teachers as well as Spirit Rock, staff, and your fellow practitioners.

Any amount paid above the Sustainer rate is a tax deductible donation to Spirit Rock. Your confirmation email is your tax receipt.

Select an option*

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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. Not tax-deductible.

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$160

$160

$160
Basic.

The Basic rate covers a portion of the cost of the program. Not tax-deductible.

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Mudita/Karuna Scholarship Rate.

The Muditā/Karuṇa Scholarship – includes both types of scholarship. Not tax-deductible. The Muditā Scholarship supports any individual who requires financial...

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$108

$108

$108
Mudita/Karuna Scholarship Rate.

The Muditā/Karuṇa Scholarship – includes both types of scholarship. Not tax-deductible. The Muditā Scholarship supports any individual who requires financial support, including our elders (65+) on fixed incomes. The Karuṇa Scholarship is for individuals with serious medical conditions, or life-threatening illnesses who require financial support.

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BIPOC Scholarship Rate.

Dr. Marlene Jones People of Color Scholarship is for individuals who self-identify as Black, Indigenous, and/or a Person of color...

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$108

$108

$108
BIPOC Scholarship Rate.

Dr. Marlene Jones People of Color Scholarship is for individuals who self-identify as Black, Indigenous, and/or a Person of color and require financial support. Not tax-deductible.

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Cancellation Policy:

Open credits only; no refunds.
Open credits are available any time prior to midnight the night before the program.
No open credits available the day of the program, or later.

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4 Practitioner Details

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; and for emergency purposes and rooming for in-person programs. We do not share this information outside of our organization.

Parent/Guardian's First Name *
Parent/Guardian's Last Name *
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.

Current age *
Gender *
How do you self-identify your gender?
Do you self-identify as BIPOC? *	Yes-BIPOC No-BIPOC Decline to state-BIPOC Spirit Rock holds the intention to increase participation of Black, Indigenous, and People of color (BIPOC) in our programs. To support this commitment, we prioritize a portion of all retreat spaces for BIPOC community.
Describe your ethnic origin or race *
Do you self-identify as LGBTQIA+? *	Yes-LGBTQIA+ No-LGBTQIA+ Decline to state-LGBTQIA+
How would you describe your sexual orientation?	Optional.

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

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 Payment