Booking – Retreat into Darkness in Thailand Name* First name Last name Gender*MaleFemaleDate of birth* Date Format: MM slash DD slash YYYY Email* Phone*Address Address City ZIP AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Newsletter I would like to subscribe Contact person in case of emergencyName* Name Surname Phone number*Relation to you*Cost of the retreatTeachings (9 days + 2 days for acclimatising) : 1000CHF Accomodation A. Single room : 1588.- (52’740 THB) B. Double room : 1150.- (39’060 THB) C. Triple room : 1035.- (35'730 THB) Accomodation*A. Single roomB. Double roomC. Triple roomWould you like to share the room with someone ?Mention the namePlease answer the questions below, so that we know more about your motivations !What motivates you to attend a darkness retreat?*Did you ever spend time in the dark ?*YesNoIf that’s the case, please describe the circumstances that allowed you to do so.Please introduce yourself in a few words*What is your practice of yoga and meditation?*Style, regularity etc. Since how long ?Please tell us about your food intake*Do you eat meat or are you vegetarian or vegan etc. Did you ever fast ?*YesNoIf so, for how long ?Have you got any handicap or any physical or psychological issue ?*YesNoWhich one ?How did you hear from this retreat?Payment planAs soon as we receive your transfer of 500 CHF, your registration is confirmed. Then Tao Garden will also ask you to pay for a deposit for your accomodation in the darkroom. Another payment of 500 CHF has to be done by the end of June 2020. You may also pay all at once. Anoula Sifonios, rue de Onna 5, 1974 Arbaz, Switzerland Financial institution : Postfinance IBAN: CH70 0900 0000 1733 8046 9 BIC code : POFICHBEXXXThe amount of the non-refundable deposit is 600 CHF. If you cancel more than 60 days before the retreat starts, we keep the deposit. If you cancel less than 60 days before the retreat starts, there's no payment back. We'll transfer the amount of 400CHF on a next darkness retreat, the following year. Please note that Tao Garden has its own cancellation policy, independant from our own : please check with them. I read and accepted* The document « Introduction to the darkness retreats » and the cancellation policy Flyer Introduction to darkness retreats