1-Day Pop-Up
Meditation Retreat

Registration is Open

by The Alabama Meditation Network

Saturday, July 27, 2024, 8:30 am - 4:00 pm

Ave. D Events
3008 4th Avenue South
Birmingham, AL

Registration Deadline Extended: July 22, 2024

Experience the energy of sitting with others, find support and encouragement from like-minded individuals, and learn different present-moment practices such as chair yoga, eating, walking meditation, and more. Refresh your mind and body as you immerse yourself in the present moment in the heart of Birmingham.

Registration

All fields are required except where indicated.

Personal Information

First Name

Last Name

Age

Do you have mobility issues?

Yes or No

Yes No

More info. (Optional)

Gender Identity/Expression

Meditation Experience

I have been meditating for: (Select one)

Meditation Experience

Do you sit with a meditation group?

Yes/No

Yes No

If yes, name of group?

Medical Information

Doctor's Name

Doctor's Phone

Please describe any allergies you may have (If none, leave blank).

Allergies

Please describe any ongoing medical conditions you may have and any medications you take for your physical health. (If none, leave blank).

Mental History

If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health. (If none, leave blank).

Mental Health

Emergency Contact

Emergency Contact:

Emergency Contact Phone

I agree to:

Retreat Participation Policy*

Retreat Participation Policy* By checking this box, I acknowledge that I am applying to register for a meditation retreat. If accepted, I understand that I am expected to participate in the retreat schedule of the Alabama Meditation Network and to practice according to the Code of Conduct (View Here).

Liability Waiver*

Liability Waiver* Terms and conditions 1) I have read and understand the information on the Alabama Meditation Network website about this retreat. 2) I have read and understand the Cancellation Policy for this retreat (View Here). 3) I am aware that each individual is responsible for their own well-being, and that of any minor(s) in their care. 4) I understand that meditation practice is a complement to, and not a substitute for, prescription medicines, or any psychological or medical treatment. I intend to continue to follow the direction of my doctors and counselors. 5) I agree to relieve the Alabama Meditation Network and the Club House on Highland from any and all liabilities in the event of any accidental injury or illness incurred by me, or by any minors in my care.

Future Communications

May we stay in contact with you after the retreat with occasional updates about future group meditation opportunities and retreats?

Yes/No

Yes No

To complete your registration, click "Submit Registration," and follow the payment information below.

After Submitting the Registration Form You Must Pay the $75 Retreat Fee.

Is This Form Causing Issues?

Retreat Details

Saturday

8:30am: Check-in, cushion/chair placement.
9:00am: Opening introduction, meditation instruction, & light breakfast snacks.
9:30am: Guided meditation & mindful walking
11:00am: Shamatha Yoga (Lujong) or Chair Yoga
12:00pm: Meditation/Body Scan/ Q & A
1:00pm: Lunch/Eating meditation
2:00pm: Small group discussion
3:00pm: Guided meditation & mindful walking
4:00pm: Group discussion & conclusion

Details

Location

Ave. D Events

3008 4th Avenue South
Birmingham, AL 35233

Directions

Lunch & Snacks

To aid in our meditation, we focus on clean eating with delicious and satisfying vegetarian meals.

What to Bring

Bring your:

Meditation cushion (Chairs will be available if you prefer to sit in a chair)
Mat (Zabuton) or folded up blanket to go under your cushion

Don’t have a cushion or mat? Please bring a blanket to fold and have under a cushion. We will have a few extras at the retreat for you to use.

Option: Purchase a cushion and mat before the retreat either at The Golden Temple in Southside or buy a set on Amazon.

*IF you have an extra cushion, mat or meditation bench, please bring it to share with someone who doesn’t have one.

Retreat Fee

$75/person

Fee includes:

Meditation Instructions
Lunch & Snacks
Movement Practice

We have a limited scholarship fund to be given based on need. If you would like to request a scholarship to attend, contact us below.

Your Retreat Meditation Instructors

Lynn Snow

Lynn leads the Tuscaloosa Zen Meditation Circle.

Lynn Snow

Andrew Kiett

Andrew Keitt has been practicing Zen meditation for thirty years. He is a founding member of the Burning Rock Soto Zen Group in Birmingham, AL.

Andrew Keitt

Registration Is Closed

Retreat Fees

Standard Rate - $65

We have limited scholarships to be given based on need. If you would like to request a scholarship to attend, contact us below.

Registration

All fields are required except where indicated.

Payment is required to complete registration.

Personal Information

First Name

Last Name

Age

Gender Identity/Expression

Meditation Experience

I have been meditating for:

Meditation Experience

Do you sit with a meditation group?

Yes/No

Yes No

If yes, name of group?

Medical Information

Doctor's Name

Doctor's Phone

Please describe any allergies you may have (If none, leave blank).

Allergies

Please describe any ongoing medical conditions you may have and any medications you take for your physical health. (If none, leave blank).

Mental History

If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health. (If none, leave blank).

Mental Health

Emergency Contact

Emergency Contact:

Emergency Contact Phone

I agree to:

Retreat Participation Policy*

Liability Waiver*

Future Communications

May we stay in contact with you after the retreat with occasional updates about future group meditation opportunities and retreats?

Yes/No

Yes No

YOU MUST pay for the retreat on the next page after you click "Submit."

Financial Assistance Request

Everyone needs help from time to time, and we will do everything we can to help those who need it. We have a limited scholarship fund; please help us understand your need so we can determine what we can do for you.

1-Day Pop-UpMeditation Retreat

Registration is Open

by The Alabama Meditation Network

Saturday, July 27, 2024, 8:30 am - 4:00 pm

Ave. D Events 3008 4th Avenue South Birmingham, AL

Registration Deadline Extended: July 22, 2024

Registration

All fields are required except where indicated.

Personal Information

Meditation Experience

I have been meditating for: (Select one)

Do you sit with a meditation group?

Medical Information

I agree to:

Future Communications

To complete your registration, click "Submit Registration," and follow the payment information below.

After Submitting the Registration Form You Must Pay the $75 Retreat Fee.

Is This Form Causing Issues?

Retreat Details

Saturday

Details

Ave. D Events

Retreat Fee

$75/person

We have a limited scholarship fund to be given based on need. If you would like to request a scholarship to attend, contact us below.

Your Retreat Meditation Instructors

Lynn Snow

Lynn Snow

Andrew Kiett

Andrew Keitt

Registration Is Closed

Retreat Fees

Standard Rate - $65

We have limited scholarships to be given based on need. If you would like to request a scholarship to attend, contact us below.

Registration

All fields are required except where indicated.

Payment is required to complete registration.

Personal Information

Meditation Experience

I have been meditating for:

Do you sit with a meditation group?

Medical Information

I agree to:

Future Communications

YOU MUST pay for the retreat on the next page after you click "Submit."

Financial Assistance Request

Alabama Meditation Network © 2024

Retreat Cancellation Policy

Code of Conduct

Alabama Meditation Network

Terms & Definitions

Meditation:

Meditation Community:

1-Day Pop-Up
Meditation Retreat

Ave. D Events
3008 4th Avenue South
Birmingham, AL