2027 Month-long Retreat at Southern Dharma

Thank you for your interest in an upcoming Southern Dharma program! We appreciate you for taking the time to answer all questions completely and truthfully. Please note that Southern Dharma will not distribute or sell your information to any third parties.

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Questions about registration? Please email registrar@southerndharma.org.

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Fully booked. Join the waiting list.

First Name *
Last Name *
Email *
Confirm Email Address *
Phone *
Address *
Address 2
City *
State/Prov. *
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Country *
Gender *
How do you identify your gender?
What are your pronouns?	She/her/hers They/them/theirs He/him/his Other
Please enter your pronouns.
Do you identify as LGBTQIA+ (lesbian, gay, bisexual, trans, queer, intersex, asexual, and beyond)? *
Do you identify as Black, Indigenous, or a Person of Color (BIPOC)? *	Yes No
How do you identify racially/ethnically? *
Birth Date *
Do you meet the minimum retreat experience requirements listed in the program description? If you do not you cannot register for this retreat. *
Please list relevant retreat experience *	We recommend that candidates have participated in at least 14 nights of structured and teacher-led Buddhist meditation retreats.
Is this your first meditation retreat? *	Yes No
Have you previously attended a retreat with Southern Dharma? *

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