The Spiritual Leader: Achieving High Performance and Navigating Life Transitions with Mindfulness (314R26)

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1 Welcome

2 Price

Registration fees DO NOT include teacher dana. At the end of the retreat, there will be an invitation to offer dana to the teachers and to Spirit Rock.

Select an option*

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Single Room

The Single Room rate has a tax-deductible portion of $3,500. The room has a single twin-sized bed with private sink...

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$4,000

$4,000

$4,000
Single Room
The Single Room rate has a tax-deductible portion of $3,500. The room has a single twin-sized bed with private sink and closet storage area.

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Sold Out

Double Room

The Double Room rate has a tax-deductible portion of $4,500. The room has a two twin-sized beds. You can share...

More Details +

$5,000

$5,000

$5,000
Double Room
The Double Room rate has a tax-deductible portion of $4,500. The room has a two twin-sized beds. You can share this room with a friend or simply have more room for yourself. This shared accommodation has a sink and closet storage area. There is also a shoji screen that can be placed between the beds for added privacy.

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Cancellation Policy:*

$50: On or before January 1, 2026
75% fee: Jan 2 - Feb 15, 2026
No refunds: After Feb 16, 2026

*Fees reduced for serious illness or death in family

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4 Practitioner Details

For those that select the "Double Room" accommodation AND will be sharing the room with a guest, please know that we will need to collect the same personal information from your guest that you have completed on this form. This information is needed the retreat container safety and in case of any emergency. We will reach out to you (and your guest) closer to the retreat.

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.
Meditation Practice Experience-ResRetreats *	New to Vipassana residential retreat practice. I've attended 1-3 residential retreats. I've attended 4-10 residential retreats. I've attended 10+ residential retreats.
Emergency contact name *	Please include the name of someone who will be available during your retreat/program. For Residential retreats, if you are traveling from a foreign country, we would prefer that you provide a contact person who is in the United States.
Emergency contact relationship *
Emergency contact phone *	Please include the best number to reach your emergency contact person while you are on retreat or participating in our program. This will not be used for anything except to care for you in case of an unexpected crisis or emergency.
Did you select the Double Room accommodation? *	Yes No
If yes, will you be sharing your room with a guest? *	Yes No Reminder! We will need full name, email, and other pertinent personal details of your guest attending. We will reach out closer to the retreat for more details.
Name & Email of Guest Attending: *	Please include first and last name, plus email address for your guest.

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5 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.

6 Accommodations and Food (YPO)

Preferred gender floor *	No preference All-gender floor Female only floor Male only floor We cannot guarantee we can accommodate all "floor preferences" but we will do our best!
First-floor room needed?	Yes, I have mobility limitations.Only select if you MUST be on a first-floor room. We prioritize first-floor rooms for those with mobility limitations and elders in need.
Describe any serious mobility/physical limits we should be aware of	This includes: if you use a personal wheelchair and/or if you have an ADA certified service dog; if you are DEAF, or have severe Blindness. We would like to connect with you as soon as possible to see how we can support your participation.
Need scooter	Yes, I need to reserve a scooter.We have a maximum of four scooters available per retreat. If you have a serious mobility issue, we recommend that you reserve a scooter.
Chemical sensitivity	Yes, I need to be in a chemically sensitive building.We have one dormitory that has wood flooring and no carpeting throughout the building. If you have allergies or are a chemically sensitive being, we recommend this building for you.
Snore *	No, I don't snore Yes, I snore
CPAP machine	No, I do not use a CPAP machine. Yes, I use a CPAP machine.
Allergies *	No food allergies Yes food allergies If 'YES', PLEASE TELL US WHAT THE FOOD ALLERGY IS AND THE LEVEL OF SEVERITY.
What is your food allergy and level of severity?*	*We are NOT able to accommodate extreme dietary preferences. However, if you have a LIFE-THREATENING ALLERGY (eg. peanut) we should have a conversation with you before you attend a retreat here. Please contact the Registration Department as soon as possible.
Dietary Retrictions	Vegan Gluten Free Check all that apply.

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
Liability Waiver for Participating in On-Land Programs - By checking this box *	I AGREE - I acknowledge that I have read and agree to the terms in this "Liability Waiver"PLEASE READ - LIABILITY WAIVER
Image Consent	I AGREE - I acknowledge that I have read and agree to the terms in this "Image Consent"PLEASE READ - IMAGE CONSENT: I grant permission to Spirit Rock Meditation Center to take photographs and/or record digital media of me for use in promotional materials. These materials might include printed or digital products. I authorize the use of these images and recordings without compensation to me. All images and recordings shall be the property of Spirit Rock.

8 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

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1 Welcome

2 Price

Select an option*

Single Room

Double Room

3 Additional Programs

Participants

4 Practitioner Details

5 Demographics

6 Accommodations and Food (YPO)

7 Tell Us More

8 Payment