2022 Fathom the Mind. Heal the World. Fall Retreat Application for In-Person Attendance

An application is required if you would like to attend the 2022 "Fathom the Mind. Heal the World." in-person retreat with Lama Alan Wallace, Dr. Eva Natanya & Dr. Anuradha Choudry to be held October 1-7, 2022 at Blazing Mountain Retreat Center in Crestone, CO.

Please apply promptly since we will limit in-person attendance to maintain safety protocols for everyone who attends. If you live in Crestone you will find some questions may not apply so please respond N/A.

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Mobile Phone(Required)

Address traveling from, if it is different from home address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How will you travel to Crestone?(Required)

A Covid vaccination and booster are required

Covid Vaccination Card File Upload(Required)

Upload a copy of your official vaccination card

Max. file size: 64 MB.

We ask that everyone observe extreme caution while traveling. Are you willing to follow all precautions while traveling to Crestone including social distancing wherever possible and wearing a mask indoors at all times?(Required)

yes

no

N/A

We ask that everyone be extra careful at least 7-10 days prior to the retreat. Are you willing to follow all precautions including social distancing wherever possible and wearing a mask indoors at all times when out in Crestone or elsewhere?(Required)

yes

no

Are you willing to continue wearing a mask in all indoor spaces (other than your private room if staying on site) at Blazing Mountain, as well as while interacting with others during the retreat? If this is a problem for you please register for the Virtual Retreat.(Required)

yes

no

Your Lodging(Required)

Would you like to stay at Blazing Mountain Retreat Center for the retreat or will you find outside lodging?

Please be aware meals are NOT included in your stay at Blazing Mountain and you will be responsible for your own meals. There are refrigerators available to store your food, and there are microwave ovens to warm any prepared items. There will not be any cooking allowed at the retreat center.

We are looking into local caterers preparing pre-packed lunches and/or dinners and we will do our best, but please plan that you might not have this option.

We will have coffee and tea available in the morning and throughout the day.

Stay at Blazing Mountain

Outside Lodging

Not Sure

I live in Crestone

If you are traveling and attending the retreat with a partner or other family member will you be staying together in one room at Blazing Mountain?

yes

no

N/A

If Yes: Partner/Family Member’s Name

This will allow us to book your room together.

Additional Information

We will be together for many hours each day, do you have any health conditions we should know about? We thank you for your honesty.

We are delighted to be a part of the Crestone community and to offer this in-person retreat. Please tell us how you heard about the retreat:

We would love to know more about the group that is assembling for this retreat. In your own words and in whatever way you feel comfortable, please share a bit about your experience with contemplative practices. For example, you could share a little about your own practice, teachers you have or have had, or what you'd like to learn

What aspect of the retreat content is most interesting to you?

Dr. Wallace's teachings on Buddhism

Dr. Natanya's teachings on Christianity

Dr. Choudry's teachings on Samkhya traditions

The interreligious dialogue

The meditations

Coming together as a community

Other

Volunteer Opportunity

During the retreat would you be willing to volunteer for a few hours?

Yes

No

There are no prerequisites for the retreat. Please list all the retreats with Lama Alan that you have attended (in-person or online) in the last three years.

Emergency Contact Information

Emergency Contact Name(Required)

First Last

Relationship to you

Emergency Contact Email Address(Required)

Emergency Contact Phone Number(Required)

Emergency Contact Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Thank you for applying to attend the in-person retreat.

We will get back to you as soon as possible. Thank you for your patience. If you have any questions please comment below:

Phone

This field is for validation purposes and should be left unchanged.