Donation Based Morning and Afternoon Meditation Sessions

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Donation Based Morning and Afternoon Meditation Sessions

Open Dates

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1 Welcome

Please fill out your details and press Continue. Once you register, you will receive details on how to access morning & afternoon meditation sessions.

First Name *

Last Name *

Email *

Please be sure your email address is correct.

Confirm Email Address *

Send me a reminder if I don't register today!

2 People in your group

Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*

3 Demographics

The following questions are completely optional. All of your individual information will be aggregated anonymously for reporting purposes and to help us understand representation and inclusivity at Copper Beech Institute. We acknowledge that this language is continually evolving, so if there is new/better language for any of these identities that you feel should be included, please contact us at info@copperbeechinstitute.org.

What is your gender?	Female Non-binary Trans Two Spirit Male I prefer not to answer
A gender not described above:
Do you self-identify as BIPOC?	Yes BIPOC No BIPOC I prefer not to answer
Describe your ethnic group or race:
What is your sexual orientation?	Lesbian Gay Bisexual Queer Asexual Straight I prefer not to answer
A sexual orientation not described above:
Are you a current or former member of the U.S. Armed Forces, Reserves or National Guard?	Yes No I prefer not to answer

4 Agreements

Terms and Conditions *

I accept the Terms and Conditions. CLICK HERE TO READ THE TERMS AND CONDITIONS

Image Consent *

I acknowledge that I have read and agree to the terms of the "Image Consent" below.PLEASE READ IMAGE CONSENT POLICY HERE: I grant permission to Copper Beech Institute to take photographs and/or record digital media of me for use in promotional materials. These materials might include printed or digital products. I authorize the use of these images and recordings without compensation to me. All images and recordings shall be the property of Copper Beech Institute.

5 Tell Us More

Email newsletter (Not required)	Please send me the Copper Beech e-newsletter
How did you hear about us? *
How did you hear about this particular program? *

6 Donate

Please enter your donation amounts below

$	Boundless Heart Fund As a nonprofit retreat center, our mission is to share the practice of mindfulness with as many people as possible. We are grateful for your generosity in helping make this possible. You can enter any amount or leave it empty. The suggested amount is $5 - $10 per session.

7 Payment

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	You will be asked for credit card details in the next step. Click the button below to continue.