Australia Rounding Retreat Registration Form GERRINGONG ROUNDING RETREAT REGISTRATION FORM 26 – 30 June 2024 Name* First Last Email* Phone*HiddenCK Check Do you practice Vedic Meditation?* Yes, I do. No, I do not. Thom's Gerringong Retreat is open to everyone who has completed a 4-Day, in-person Vedic Meditation Course. Visit this page to learn more about Thom’s Vedic Meditation course taking place from 17 June - 20 June. UntitledWho did you learn Vedic Meditation with? Thom Knoles Aaron Duke Angela Lyos Braun Barron Hanson Caroline Birch Cathy Rolfe Corinna Galliano Dan Snow Elliot Smith Georgia Vavasour Jess Osie Joh Jarvis Kay Dyson Krista Sanderson Lana Loxton Lauren Fitzgerald-Love Lauren Godfrey-Love Limor Babai Liz Smith Mathieu Carlot Mairead Ball Matt Handley Matt Ringrose Melanie Kirkbride Michael Watts Natalia Paklina Neil Kirkbride Neomal Silva Neradine Tisaj Nicho Plowman Penny Price Rachel Gross Richard Stables Simone Lee Stephanie Colman Tim Mitchell Tory Bridges William de Chermont Other What's your teacher's full name?* What year did you learn? (YYYY)* What did you bring on the first day of your course?* How long was your Vedic Meditation Course?* 1 day 2 days 3 days 4 days 5 days or more Did you take the course online or live, in-person?* Online In-Person Mix, some online, some in-person How many days were online, and how many days were in person?* What type of room are you booking today?* Single Occupancy Shared Occupancy Please select your payment type* Deposit (AUD 1,000) Full Amount (AUD 4,400) Please select your payment type* Deposit (AUD 1,000) Full Amount (AUD 5,400) TESTING REQUIREMENTS* I understand that all attendees will be required to take a lab-administered COVID PCR test, taken 24-hours before arrival, at an additional cost to the attendee (typically AUD 200-300). All payments are non-refundable. We strongly encourage the purchase of trip cancellation insurance for protection against any potential loss of fees. PAYMENT TERMS* I understand that my payment is non-refundable and non-transferable.UntitledTotal (AUD) $ 0.00 Credit CardCard Details Cardholder Name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands EmailThis field is for validation purposes and should be left unchanged.
