The Alchemy of Liberation – Working Retreat

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1 Welcome

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2 Booking Details

Address 1 *
Address 2 *
Town/City *
County *
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Postcode *
Birth Date *
Gender *	Please see this page for more information on gender and Buddhafield retreats. You can also get in touch if you have further questions.
Email newsletter signup *	Yes No Hear about other Buddhafield events, community content and be notified when bookings are open for next year. We will not spam you or pass on your information and you can opt out at any time.
How did you hear about us? *
Dietary Needs (medical only)	All food is vegan. Please see our FAQs for further information as putting your needs here does not automatically mean that we will be able to cater for them.
Other Dietary Needs	Leave blank if not applicable. If you have selected 'Other- not listed' or 'Nut allergy' then please put additional information here.

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3 Application

Have you volunteered with us before? *	No Yes - one previous year Yes - multiple years
Please tell us about your previous experience with Buddhafield *
Tell us more about any qualifications and skills you have that you can offer the team *	e.g. driving license, HGV license, first aid, food hygiene training, DBS etc. We will need to see certificates if the training was not done through Buddhafield
Please tell us about your experience of Buddhist practice, if any *	This might be in Buddhafield, Triratna, or in other traditions.

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4 Wellbeing

Please see our FAQs for further information about being well enough to come on retreat.

This includes a comprehensive document covering general health issues, physical limitations and/or disabilities, emotional distress, mental health issues, involvement with services, addiction and infectious diseases. Then, if you have things you would like us to be aware of, you can note them here and/or contact us via the methods described in the document.

Mental Wellbeing	Please let us know anything you wish to share about your mental wellbeing here Having mental health challenges does not exclude you from being on retreat. It is very helpful for us to be aware of any mental health issues because any such issues can be heightened by being on retreat. It is up to you if you disclose information. We consider any disclosure to be the start of a conversation about how we can best support you and if the retreat you have booked is suitable for you. Leave blank if not applicable.
Medical and physical wellbeing	Please let us know about any key medical information you think we need to know, including any access needs. Leave blank if not applicable.

Mental Wellbeing

Please let us know anything you wish to share about your mental wellbeing here

Having mental health challenges does not exclude you from being on retreat. It is very helpful for us to be aware of any mental health issues because any such issues can be heightened by being on retreat. It is up to you if you disclose information. We consider any disclosure to be the start of a conversation about how we can best support you and if the retreat you have booked is suitable for you.

Leave blank if not applicable.

Medical and physical wellbeing

Please let us know about any key medical information you think we need to know, including any access needs.

Leave blank if not applicable.

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5 Emergency Contact

Name of Emergency Contact *
Number of Emergency Contact *
Relationship to you *

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6 Vehicles & Lifts

This retreat takes place near Whiddon Down in Devon. We offer lifts from The Post Inn bus stop at Whiddon Down.

How will you get to the retreat? *	Car Small live in (6m and under) Large live in (over 6m) Public transport and I will need a lift Public transport and I won't need a lift

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7 Guidelines and safety

Safeguarding polices *	Yes Please tick to indicate that you are aware of safeguarding as one of Buddhafield's values and agree to abide by our policies regarding children and vulnerable/at-risk adults. You can read these here
Please confirm that you do not have an entry on the sex offenders register or any unspent criminal convictions. *	I confirm that I do not have any unspent criminal convictions OR I have already discussed any such with the Buddhafield Safeguarding lead and they have advised me that I can go ahead with my application I confirm that I do not have an entry on the sex offenders registers OR I have already discussed any such with the Buddhafield Safeguarding lead and they have advised me that I can go ahead with my application If you do, and you wish to work at our events, please do not submit this form. Having a criminal record does not automatically disqualify you from working with us. However, it is important to note that if you have been convicted of any offences that involve children and/or vulnerable adults, you might be unable to attend Buddhafield events. Your first step is to contact our safeguarding officer at BuddhafieldSafeguarding@protonmail.com to talk to them about your circumstances.
Do you agree to abide by our Code of Conduct, Behavioural Safety and Terms and Conditions? Tick all boxes to continue *	Code of Conduct Terms and Conditions Behavioural Safety Statement We ask that retreat teams abide by the same terms and conditions as retreatants, which you can read here. We have a volunteer code of conduct that you can view and download by clicking here. Our behavioural safety statement covers the basics of taking care in community and working retreat settings. You can read it here.

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8 Gift Aid

You will be asked if you'd like to contribute dana on completion of the open retreat, if you do and we can claim gift aid on your donation, it really helps boost the post and keep us going. Thank you.

Are you eligible for Gift Aid? *	Yes No
Gift Aid Declaration 1	I would like to Gift Aid any donations that I have made in the past 4 year and all future donations from the date of this declaration. I would like to Gift Aid my donation today and any donations that I make in the future.
Gift Aid Declaration 2	I am a UK taxpayer. I understand that if I pay less income tax and/or capital gains tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay the difference. Please notify us if you would like to: • cancel this declaration • change your name or home address • no longer pay sufficient tax on your income and/or Capital Gains Note: If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

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9 Thank you

We know this is a long form - thanks for your patience. We will be in touch soon regarding your application. If you are successful, you will be sent a link to pay the deposit for the working retreat.

If you have any further comments or really want us to know something, tell us here….

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10 Security Check

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