21 Stages of Meditation (Accommodations)

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1 Welcome

2 Price

3 People in your group

Guest 1		First Name* Last Name* Email* Do you have any severe food allergies?* No Yes Please select “Yes” if you have a food allergy that may trigger serious reactions (e.g. anaphylaxis, hives, swelling, etc.) Gender We ask for gender to support respectful room assignments, inclusivity, and comfort for all guests in our ally-centred environment.
Guest 1		First Name* Last Name* Email* Do you have any severe food allergies?* No Yes Please select “Yes” if you have a food allergy that may trigger serious reactions (e.g. anaphylaxis, hives, swelling, etc.) Gender We ask for gender to support respectful room assignments, inclusivity, and comfort for all guests in our ally-centred environment.

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4 Participant Info

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Dietary *	Please choose the dietary option above that applies to you. Please select Omnivore if you have no restrictions.
Do you have any severe food allergies? *	No Yes Please select “Yes” if you have a food allergy that may trigger serious reactions (e.g. anaphylaxis, hives, swelling, etc.)
If yes, please specify below	Please specify your severe food allergies. If you have very particular dietary needs we suggest you bring supplementary food to support your experience. Feel free to contact guest services to discuss: guestservices@bethlehemcentre.com
Dietary Preferences:	Please specify your severe food preferences
Additional Guest: Dietary Information	Please choose the dietary option above that applies to you. Please select Omnivore if you have no restrictions.
Additional Guest: Severe Medical Food Allergy #1	Please specify your severe food allergies.
Do you require wheelchair accessible accommodations?	This could include other mobility aids (i.e. walker, shower chair).
Do you need ground floor accommodation? *
Program Comments or Special Needs	Please describe any special needs you have such as: Certified support animal(s), mobility needs, CPAP machine hookup, etc.
Age	25 & under 26-35 36-55 56-75 76+
Gender	We ask for gender to support respectful room assignments, inclusivity, and comfort for all guests in our ally-centred environment.
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5 Donate

CAD $	Support Bethlehem today Bethlehem is a charitable organization that relies on the generosity of donors like you to continue to welcome individuals exploring spirituality and seeking a non-judgmental sacred place for contemplation, learning, and community.

1 Welcome

2 Price

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Standard Room (with a shared washrooms)

3 People in your group

4 Participant Info

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