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Mentorship Retreat 2021
Mentorship Registration 2021 - STUDENT
Mentorship Retreat 2021 is now open! You can register by filling in the following form. If you have any queries or concerns please feel free to Rushab Shah (07763687042) or Vrinda Sundari (07999190544). Please note - This retreat is ONLY for those in the current IPS Mentorship System. By signing up and making payment you are NOT guaranteed a space on the retreat as there are limited spaces. Confirmations of spaces will be sent out in mid-November. If your application is unsuccessful a full refund (minus the transaction fee of 1.4% +20p) will be issued by 30th November.
Health & Medical Issues
Emergency Contact Details
Terms & Conditions
Date of Birth
If you are under 18 years of age, please complete and upload the following Parental Consent form.
Please scan and upload your Consent Form.
Accepted file types: jpg, png, pdf.
this consent form. (Right Click + Save As) and a parent/guardian sign it.
If you have any illnesses, allergies or medication you require to take, please let us know so we can help accommodate you the best we can.
e.g. Nut allergy (Please enter N/A if this does not apply)
e.g. Paractamol (Please enter N/A if this does not apply)
Please include any activities or foods which should not be undertaken as a direct result of any allergies or illnesses
Emergency Contact's Name
Relationship to Attendee
Emergency Contact's Mobile Number
Daytime Contact Number
Terms & Conditions
You MUST read and accept the following terms and conditions before proceeding to the next page. These terms and conditions have been approved by the Mentorship Overseeing Committee; Sucirani Devi Dasi, Nilamani Devi Dasi, Nimaicandra Das, Vrindavan Bihari Das & Krishna Kirtan Das.
This is an application for a space on the trip - before signing up please refer to points 4 & 5 for the selection criteria. Applications close on 25th October 2021. Your place will be confirmed by Mid-November by email.
You (the applicant) confirm that you are registered as part of the IPS Mentorship System.
Any new IPS Mentorship system registrations after 10th October 2021 does not necessitate that you will get a place on the trip.
Space is limited and thus preference will be given to those registrants who over the last year have been in regular PS sanga AND service. This will be checked with your sanga and service leaders.
If you are a sanga leader that constitutes as a sanga and a service.
Thereafter, regular IPS sanga attendance will take priority over service.
If you are not attending a PS sanga but are doing a PS service we will liaise with your service leader to ascertain the regularity and commitment to the service.
For a married couple or family, if one adult fulfils the criteria of No’s 4&5, to that degree the family will be considered.
Mentors and mentees will be treated equally with respect to the above criteria.
Please read through the cancellation and COVID policies
You (the applicant) are happy to make the payment knowing that your space is NOT guaranteed.
to view the policy.
You have opened, read and accepted the following cancellation policy:
You the applicant agree to providing an up to date PCR test taken within 72 hours of coming on the retreat.
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