Upcoming Events

MAY
18

David Loy Lecture: "Healing Ecology: A Buddhist Perspective on the Eco-crisis"
18 May 2012 at 7:00 PM
Green Phoenix Institute, 352 West 12th Ave, Eugene, OR 97401

MAY
19

David Loy Workshop: "Transforming Self, Transforming World"
19 May 2012 at 9:30 AM
Green Phoenix Institute, 352 West 12th Ave, Eugene, OR 97401

MAY
20

Public Service: Todd
20 May 2012 at 11:00 AM
Green Phoenix Institute, 352 W 12th Ave, Eugene, OR, 97405

MAY
21

Pract. (Matt)
21 May 2012 at 7:00 PM
Green Phoenix Institute, 352 West 12th Ave, Eugene, OR 97401-3449

MAY
22

Library
22 May 2012 at 6:00 PM
CSS Library, 1571 Buck St, Eugene, OR 97402

Retreat Registration Form

View the current retreat announcement for this retreat.

Note: This CSS practitioner retreat is by invitation only and is not open to the public. If you are interested in attending a CSS retreat, please consider joining CSS and becoming one of our member practitioners.

To register, 1) complete this form and click SUBMIT at the bottom, 2) print your email confirmation receipt, and 3) mail it to us with your payment. Your registration is not complete until you mail your payment together with a printed copy of the email acknowledgement.

Retreat DescriptionDo not edit this information
Attendance *First priority for space at this retreat is given to people registering for the entire retreat.
Partial Retreat DetailsIf you are attending only a portion of the retreat, indicate 1) the number of nights you will be at the retreat, 2) the day and time you plan to arrive, and 3) the day and time you plan to depart.
Payment Description *Select the type of payment you will be mailing to us at this time. (If you are requesting a schoarship, 'full payment' means the full amount after scholarship adjustment.)
Payment Amount *Please indicate here the amount of the check you will be mailing to complete your retreat registration (taking into account any scholarship amount below). Note: The deposit is non-refundable, and any additional amount paid will be refunded only if requested before the payment deadline date for this retreat. No refunds will be given after the payment deadline, except at the sole discretion of the CSS Board upon review of your written request explaining your special circumstances.
Scholarship
AmountIf you are making a donation to the Retreat Scholarship Fund, indicate the amount of your donation that you are including with your payment as entered above. If you are requesting a partial scholarship for this retreat, please indicate the amount that you can afford to pay for this retreat.
Email *Your email address, so we can email you an acknowledgment of this registration information
PhoneTelephone number, in case we need to contact you about your registration
Name *Please provide your full name
Street Address
City, State, Zip
Dietary RestrictionPlease indicate if you have any dietary restrictions
Health IssuesThis retreat will take place in a rural area, and there are no physicians or health care professionals on staff. Please describe any health or medical issues that we should know about
Health Care ProviderPlease provide the name and phone number of a health care provider you would like us to contact in case of a health emergency during the retreat.
Emergency ContactPlease provide us with the name and phone number of a spouse, close friend, or family member whom we should contact in case of an emergency during the retreat
TransportationPlease indicate if you need a ride, if you have a ride, or if you can offer a ride to someone else
CommentsPlease indicate if you have any special needs or requests, or any concerns or questions you have for the retreat coordinator
*
Type the four black letters only (not the light grey letters)


After you click SUBMIT, an acknowledgement email will be sent to you with your registration information. To complete your registration, you will need to print the acknowledgement email and send it to us with your payment.