Financial Assistance Form for Awareness, Compassion and Wisdom Retreat

Please fill out the form so that we may better assist you. We request, if at all possible, that you register on-line at the provisional registration deposit amount of $250. We will contact you within 5 business days to confirm your financial aid.

First Name*

Last Name*

Email Address*

Address 1

Address 2

City

State or Province

Zip or Postal Code

Country

Interested in Volunteering?
If yes, please check box.

Photography and Video
Check box to confirm. Images and video from the event may be used to communicate about Tergar activities in the future, including in print and on the Web. If you do not want to have your image used, please contact the event manager upon registration.

Program and Accommodation Requested
Please indicate if you are requesting financial aid on program only or program and accommodation fees.

Program only - no accommodation

Program and single room - apartment

Program and single room - dormitory

Program and double room - apartment

Program and double room-dormitory

Double Room - Gender
Please indicate your gender for double room sharing

Double Room - Preferred Roommate
Please indicate the name of your preferred roommate