This is How Civilizations Heal: The Alchemy of the Three Poi

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If a retreat or program is full, we warmly encourage you to join the waitlist—spots can open up even at the last minute! Important note: scholarship requests (for residential retreats only) are handled separately. Go back to the front page under the Financial Details section and submit the Scholarship Interest Form.

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Join the Wait List!

First Name *
Last Name *
Email *	Be Careful and Mindful! Spell your email address correctly! Please be sure this is an email you check regularly. We will send information to this email address only and wouldn't want you to miss it!
Phone *
Preferred or Chosen Name	We want to be respectful in addressing you. Complete, if different from legal name. Leave blank, if not.
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.
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.
Joining waitlist - which type of program? *	Residential Retreat (on-land) Online Daylong (on-land)
If Retreat Commuter spots are available for this retreat, would you be interested? PLEASE NOTE: A Retreat Commuter is a practitioner who attends a full residential retreat, but are not provided with overnight accommodations. You must meet the prerequisite to be eligible.	Yes, I am interested in being a Retreat Commuter. No, I am only interested in a residential spot. COMMUTER PREREQUISITE: You must have attended at least one weeklong silent residential retreat (5-7-nights) in Insight (vipassanā) meditation PRIOR to attending this retreat. IMPORTANT NOTE!! If the retreat has a stronger prerequisite requirement, that requirement OVERRIDES the commuter requirement.
List eligible prerequisite(s) for Commuting *	Please list your most recently attended retreats; include teacher names, dates, length of retreat (# of retreat nights), type of retreat. List only on-land/in-person retreats if that is the requirement of the prerequisite.
Do you meet the prerequisite for this retreat? *	Yes, I meet the prerequisite. No, I do not meet the prerequisite. Not applicable for the retreat I am attending. Some retreats require a prerequisite. Please double check the program page (link to the program in the side bar to the right) to see if this retreat has a prerequisite.
Prerequisite retreat list *	For "prerequisite" retreats: Please list your most recently attended retreats that apply toward the prerequisite. Include date or year, length of retreat (# of nights), teacher names, retreat center, and retreat type (insight meditation, metta, etc.).
How long are you able to wait for a spot?	Enter the absolute last date and time you are able to accept a spot in the retreat/program. We will not contact you after the date you list.
Which rate would you need to attend this retreat?
Scholarship Inquiries	To submit a scholarship request for >> April - June 2025 Retreats - complete form here. To submit a scholarship request for >> July - December 2025 Retreats - complete form here. DO NOT continue completing this wait list form if you need a scholarship to attend; this form is for non-scholarship requests.
Online: Do you anticipate needing a scholarship rate?	Yes No
Which scholarship rate(s) make it possible for you to participate?
By joining this list, you’re also agreeing to join our email list.	I AGREE to join your email list.Uncheck the box if you do not wish to join our email list.

Demographics

We ask that you complete the demographic information below. While providing demographic information is voluntary, this information helps us better understand the communities we serve and to continue developing programs that reflect and support the needs and multi-faceted experiences of our sangha. To ensure we maximize the impact of each retreat, we ask that you register for those retreats/programs to which you believe you will contribute and/or benefit from. Thank you in advance! Questions? programs@spiritrock.org

Current age
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.

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