Personal Retreat Application form

Booking a Personal Retreat

The following experience is required

Personal Retreat (14 nights or more): A regular meditation practice and have completed at least three weeks teacher-led, Insight (Vipassana) or Zen meditation retreat in silence (either as three separate weeks or one continuous retreat of 21 days), not necessarily at Gaia House.

Personal Retreat (7-13 nights): A regular meditation practice and have completed at least two weeks teacher-led, Insight (Vipassana) or Zen meditation retreat in silence (either as two separate weeks or one continuous retreat of 14 days), not necessarily at Gaia House.

Short Personal Retreat (6 nights or less): You have been on a Residential Retreat at Gaia House before and have a regular meditation practice and completed at least two weeks of teacher-led Insight (Vipassana) or Zen meditation retreat in silence. .

All Personal Retreat Application forms will be submitted to a Gaia House teacher for approval. Applications from people who do not have sufficient previous experience will be refused. If you have any questions before you apply, please call Reception: +44 (0)1626 333613

You can use the Personal Retreat Cost Calculator to calculate the cost of your proposed retreat.

The information you disclose in relation to your booking is used specifically in relation to the retreat you are applying for. This form is kept in both electronic and paper formats up to and throughout your stay. Your information is encrypted whilst being transferred from the website to our systems. The information is used by teachers and other members of staff, as required as part of their duties. Once your retreat has been completed your electronic form will be deleted and your paper form shredded. Your application will also be deleted if your application is declined or subsequently cancelled. A record of your retreat dates will be held on our database.

For further information on how we treat your information please read our Privacy Statement.

We can only accept applications until the end of 2024 (and not into the following year).

Booking and Cancellation Conditions

• A non-refundable, non-transferable deposit of £100 will secure your place. Please pay the balance at least one month before the start date.
• If you have paid a deposit, an email will be sent to you to remind you to pay the outstanding balance.
• If you have not paid in full, one month before the start of your retreat, your place may be cancelled (with the loss of your deposit), and offered to someone on the waiting list.

• If you cancel more than 1 month before the start date of the retreat, the cancellation fee will be £100.
• If you cancel less than 1 month but more than 2 weeks before the start date, the cancellation fee will be £100 or half the cost of your retreat, whichever is greater.
• If you cancel less than 2 weeks before the start date, the cancellation fee will be the full amount paid.

Personal Details

Practice Information

This information is strictly for the confidential use of teachers and staff on a need to know basis. Please answer these questions fully to enable the teachers to guide your retreat appropriately. Disclosure of any physical/psychological history will not necessarily prevent you from undertaking a retreat.

Please state 'no' or 'none' to any questions that don't apply.

Physical & Psychological History

Please note: A difficult psychological history and present will not necessarily prevent you from being accepted for this retreat. However, we do need to feel confident that you have the capacity and resources to be self-supporting in the silent retreat environment.

Please state 'no' or 'none' to any questions that don't apply.

Emergency Contact Details