Have you attended a retreat before?
Which retreat are you registering for?
Retreat 1Retreat 2Retreat 3
How did you hear about Burgs and the Art of Meditation? If someone recommended us to you, please let us know who it was?
Please mention any previous meditation experience you have had with other teachers or other spiritual interests. Include dates and location where possible.
What is your reason for wanting to attend this retreat?
Do you have any history of physical illness, operations, accidents, or suffer from any long-term degenerative disease? If so please give details with relevant timings.
Please name any medication that you are currently taking, or have taken in relation to this and when.
Do you have any history or diagnosis of emotional/mental health issues such as depression, anxiety, suicidal feelings or attempts, drug or alcohol abuse?If so, please provide some details. Please include information on any therapy you may have received/are currently receiving.
Please name any medication you are currently taking/have taken for this.
Normal VegetarianVegan/Gluten Free
Preferred Room Type (Please note that single rooms are limited in availability and are generally prioritised for those with illness or elderly.)
Pay via PayPal; you can pay with your credit card if you don't have a PayPal account.
Direct bank transfer
Make your payment directly into our bank account. Please use your email as the payment reference.