Silent Retreat Release Form Please fill out this form in full at least 1 week before the start date of your silent retreat with us. Full Name Email Phone Retreat Start Date If you have any experience with meditation, please describe it below (type of meditation, length/frequency of practice, etc...) Have you attended a silent retreat before? Yes No Do you have any dietary restrictions? Do you have any medical issues (physical or mental) that will affect your participation in the retreat? If so, please describe in as much detail as possible. How did you find out about The BELL Center? I agree to attend the retreat for the full duration from start to end I AGREE I agree to attend every item on the schedule, and be on time to each session I AGREE I agree to silence and non-interaction with everyone around me for the duration of the retreat I AGREE I agree to abide by the instructions and guidance of the teachers at the retreat I AGREE I agree to give up my electronic devices for the duration of the retreat I AGREE I agree to wear appropriate clothing (covered shoulders, covered knees, no overly tight clothing) for the duration of the retreat I AGREE I agree to act in a respectful way towards myself and others at the retreat I AGREE I have read through and agree to the TERMS & CONDITIONS linked below I AGREE Anything else you'd like to let us know? Submit SILENT RETREATTERMS & CONDITIONS