Registration Form for Mindfulness Meditation Series

Please be sure to read the EVENT DESCRIPTION: http://www.niralis.com/hub
Your answers to the following questions will remain confidential and only available to the teachers of this series.

Name *
Name
Phone
Phone
I understand that this series is being offered on a sliding scale based on ability to pay, and I agree to pay at the highest level I am able between $75 - $330 *
About Finances: This series is financed solely by your contributions. The suggested contribution helps us pay for the venue at the Impact Hub and Terra’s Temple. The remaining amount will be shared equally by the two teachers. Sliding-scale prices allow us to keep programs affordable for those with limited financial means. Please pay at the highest level of the sliding scale that you can afford. This allows others who need to pay less the opportunity to attend. Thank you for your generosity.