UK Retreat Autumn Moon 2025 Application

Please fill out the form below to apply for the Autumn Moon retreat.

Once your application has been received, you can expect to hear back from us within 2-4 weeks with a confirmation. We thank you for your patience while we process the applications.

Click here to go back to the registration page for the Autumn Moon retreat.

If you have any questions, email [email protected].

Name (first and last)

Address

City

Country

Zip Code

Phone Number

Which payment tier are you able to sign up for? (Note that monthly installments are available.)

Standard- £495

Pay It Forward- £600

Supported (Scholarship Rate)- £350

Both Retreats (Spring & Autumn 2025)- Standard- £890 [10% off for both retreats- limited spaces]

Both Retreats (Spring & Autumn 2025)- Pay It Forward- £1080 [10% off for both retreats- limited spaces]

Your pronouns (i.e. ze, hir/zir, they/them, she/her, he/him, etc.)

Are you disabled, neurodivergent and/or chronically ill? How would you describe this?

How would you describe your ethnicity?

How would you describe your gender?

Does your gender correspond with the one you were assigned at birth?

How would you describe your sexuality?

Have you attended an in-person retreat before? And was this silent?

Do you have any access needs which may affect how you participate in the retreat?

Describe your access needs related to accommodation. Eg. you may have a condition that limits your ability to walk and need to stay close to the dharma hall and dining areas. You may wish to have access to a bath. Please get in touch at [email protected] if you have any questions.

Describe your needs when sharing a room or using the dharma hall. These are requirements which are essential for you to attend comfortably. Eg. you may only feel comfortable sharing a room with other women. If you are happy to share with any of our fellow retreatants, please let us know. Please note that this is distinct from wants/preferences, which you can inform us of in the following question.

Describe your preferences when sharing a room. These are distinct from your needs, as detailed above. Eg. you may prefer to share with other trans people, but this isn't a requirement

If applicable, please name any person known to be attending the retreat that you do NOT want to share a room with, and we will do our best to place you in a different room.

Dietary Needs and Allergies: Please let us know if you are gluten free, vegan, etc. Please specify if a food sensitivity is an allergy or an intolerance.

What are your ongoing practices (i.e. meditation, yoga, breathwork, art, ritual, etc.)?

Have you practiced with Lama Rod Owens before?

How would you describe your level of experience with meditation? These are inexact categories which will be used to created affinity groups based on experience levels.

Have you had any recent significant life events which it may be helpful for us to know about?

Is there any information relating to your mental health and wellbeing which it may be helpful for us to know about?

Let us know about any relevant medical conditions you wish to share, including conditions which may make sitting, standing or walking difficult for you. Please detail any medication you are currently taking.

Is there anything else you’d like to share that wasn’t covered in the previous questions?

Emergency Contact Details: Tell us their name, phone number and relation to you.

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