T E R R Y  R A Y

Application for Maui Retreat December 7-11 202Application for Maui Retreat December 7-11 2026

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Name  _____________________________________________

 

Email  _____________________________________________

 

Address _____________________________________________

 

DOB ________________________________________________

 

Have you attended a silent meditation retreat in the past?  ______

If so,

Where? ____________________________________________

How long was the retreat? ______________________________

Who was the leader?  __________________________________

 

 

Are you comfortable sharing a room? _________________________

Do you have any special needs?_____________________________

What are you hoping to get from the retreat?  ___________________  

________________________________________________________________________________________________________________________________________________________________________(Use extra pages if needed)

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Fill out and email to me    Terry@TerryRay.org

 

 

Fill out and email to me    Terry@TerryRay.org