A P P L I C A T I O N F O R M

VII International Meditation Camp

Ekwos Centre, Poland; 18 - 23 July 2017

Name and surname …………………………………………………………………………………………………………………………………………………………………………………………………
Date of birth ….…………………………………………………………………………………………………………………………………………………………………………………………………………….
Address …………………………………………………………………………………………………………………………………………………………………………………………………………………………
Phone number ……………………………………………………………………………… / e-mail ……………………………………………………………………………………..……………

Fasting option (please specify your choice)

one meal per day

fast on water

Fee for the Meditation Camp (please specify your choice)

500 PLN per person

300 PLN per person under 26 year old

Accommodation

Participants will be accommodated in two-, three- or four-persons rooms

I would like to share a room with (please specify names and surnames)

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

To participate in the Meditation Camp you need

·  to deliver the application form. When the application form is completed, please print, sign, scan and deliver it by email to or by fax to + 48 42 687 72 66

and

·  to pay the fee for the Meditation Camp. Please pay it by bank transfer to the following bank account: STOWARZYSZENIE ATMA
account number: PKO BP 47 1020 1026 0000 1502 0170 2869, BIC/SWIFT Code: BPKOPLPW
As the payment title please indicate:

participant’s name and surname + phone number + Atma malik 2017

Please note:

Application forms need to be delivered and payments need to be made by 15 June 2017. As the number of places is limited, the participation in the Meditation Camp and type of accommodation will be determined according to the order the application forms and payments are received.

Cancellation

It is possible to cancel the participation in the Meditation Camp. In case the cancellation is delivered by 15 June 2017, the full amount paid will be refunded; in case the cancellation is delivered after 15 June 2017, the amount paid will not be refunded.

Information on the Meditation Camp

·  address: Ośrodek Ekwos, Grębiszew ul. Rozwojowa 79; 05-300 Mińsk Mazowiecki, Poland www.ekwos.com.pl

·  registration and accommodation of the participants: Tuesday, 18 July 2017 from 14.00 to 18.00

·  the Meditation Camp will begin with dinner on Tuesday 18 July 2017 at 18.00 and will end with lunch on Sunday 23 July 2017 around 14.00

Rrules in force during the Meditation Camp

·  daily timetable is set by Sadguru and may differ from the one placed on the website of Stowarzyszenie Atma

·  participation in meditation is the main purpose of our stay

·  we take care not to disturb other participants

·  we eat only vegetarian food

·  we do not drink any alcohol, we do not smoke any cigarettes. A person affected by alcohol or any drugs may not participate in the Meditation Camp

·  we do not bring any food into the meditation hall

·  we enter the meditation hall without shoes

Declaration

I hereby declare that my overall health condition allows me to participate in the Meditation Camp. My choice of the fasting recommendation is made freely and at my own risk. I commit to respect the above rules in force during the Meditation Camp.

I consent to placing my email address on the mailing list of Stowarzyszenie Atma and to receiving information on the planned events YES NO.

…………………………………………………………………………………………………………

Date and signature

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