Retreat Registration Retreat Mexico 2027 - Registration Form - English "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Please tell us where you're registering from* I was born and currently live in Latin America Everyone else Your name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone number*How did you hear about this retreat?*Our websiteRen Xue TeacherNewsletterWord of mouthFacebookInstagramGoogle searchI've attended previous retreatsI was recommended by a friendIf someone recommended this retreat to you, please share their nameWhat languages do you speak* Spanish English Are you a REN XUE teacher?* Yes No Please let us know the levels you are qualified to teach* All levels 1-6 Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 (You may check as many as apply.)Which Yuan Qigong methods are you familiar with?* I'm new and not familiar All methods 1-9 Method 1: Tian Yuan Method 2: Di Yuan Method 3: Ren Yuan Method 4: Xia Yuan Method 5: Zhong Yuan Method 6: Shang Yuan Method 7: Tong Yuan Method 8: Ling Yuan Method 9: Ming Yuan (You may check as many as apply.)Would you like to volunteer some of your time to support the event?* Yes No Do you have a background in First aid and/or CPR?* Yes No If yes, would you consider helping out at the event if needed?* Yes No We will be coordinating a private bus from Benito Juárez International Airport in Mexico City to the venue for an additional fee. Would you like to be contacted with more details?* Yes No Emergency ContactWho should we contact in case of an emergency during the retreat?Name* First Last Phone Number*RelationshipMedical BackgroundThe following questions are intended to help us support you to have a safe, positive experience at the event. Any information you provide will be confidential and will only be shared with a small, designated team trained to support you. While these questions may feel highly personal, we appreciate your honesty as it will help us understand how we might support you at the event. Ren Xue of the Americas will not share this information with anyone other than retreat staff and/or medical professionals called to assist with a health care emergency.Do you have any dietary restrictions?* Yes No If yes, please share a little more information with usAre you currently practicing other body/mind/spirit practices such as another form of qigong, energy healing, yoga, or any other form of meditation?* Yes No If yes, please share a little more information with usDo you have epilepsy?* Yes No Are you pregnant?* Yes No If yes, which week are you in?Have you ever had a mental health condition?* Yes No If yes, please share more about your expereince.When did this occur?* In the last 6 months The last year The last 2 years or longer Are you currently experiencing or have you experienced addiction?* Yes No If yes, could you please share more about this.If yes, could you please share more about this. When did this occur? Currently In the last 6 months The last year The last 2 years or longer Do you have any physical disabilities/issues?* Yes No If yes, please say a little more.Are you currently experiencing a major illness / chronic illness / pain?* Yes No If yes, please share more about what you’re experiencingWhen did this occur? In the last 6 months The last year The last 2 years or longer Are you currently taking medication?* Yes No If so, what are you taking? (If you feel comfortable sharing)Do you have any allergies?* Yes No In case of an emergency, do you require any particular treatment?Do you have any special needs for the retreat? For example, a room near the main hall, assistance, etc.* Yes No If the answer is yes, please provide more information:If you need physical assistance at the retreat you may need to register another person as your support person – for example, support with medication, transiting from place to place, etc. Is it possible you may need extra support?* Yes No If you answered yes, please share more with us:PaymentWe always strive to make our retreats as equitable and accessible as possible. To accommodate the difference in currency rates between Latin American countries in relation to other locations throughout the globe, we offer a discounted rate for those native to Latin America and living here. The price is per person and includes all retreat activities, accommodation and food. All prices are listed in Mexican Pesos Choose Your accommodationsTo reserve another type of room eg double or single, please reach out to Lula Dolz, our retreat coordinator, once you have completed this registration form: lula@renxueamericas.orgPlease click on the accommodation option below* Shared room (up to 3 people) - $1,200.00 USD Double room (up to 2 people) - $1,500.00 USD Single room (1 person) - $2,000.00 USD Accommodation* Shared room (up to 3 people) - USD $900.00 Double room (up to 2 people) - USD $1,100.00 Single room (1 person) - USD $1,400.00 Would you like to make an optional donation to our Retreat Financial Assistance Fund to support those who otherwise could not attend?Even a small donation can make a big impact. Please enter your gift in USD. How do you wish to make today's payment?* Secure online payment using my credit / debit card I'd like to use PayPal Coupon Credit / Debit CardCard Details Cardholder Name Total (in USD) Cancellation PolicyRen Xue of the Americas Retreat Cancellation/Refund policy for our 2027 Retreat in Mexico If you need to cancel your retreat registration, please do so early. Late cancellations make it difficult to give someone else the opportunity to attend. Once you have paid any portion of the retreat fee, administrative and possibly cancellation fees will apply, depending on the cancellation date. If you cancel your reservation before December 15th 2026 at midnight we will refund all fees paid minus applicable administrative charges. If you cancel your reservation on December 15th 2026 or later, we will refund all fees paid minus $800 cancellation fee and applicable administrative charges. Refunds will be issued by method of payment within 30 days of receiving cancellation notice. Anyone leaving the retreat early for a reason other than a qualifying emergency (medical emergency or a death in the family) will not receive any refund. If someone leaves early due to an emergency (as stated above), we will proportionately refund the days that are not attended minus the $800 cancellation fee and the applicable administrative charges. Ren Xue of the Americas reserves the right at any time to require that a participant leave the retreat if it is determined that the participant's behavior is either excessively disruptive or dangerous to self or others. In this case, all retreat fees are non-refundable. Cancellation by Ren Xue of the Americas In the highly unlikely event that Ren Xue of the Americas must cancel the retreat for unforeseen reasons, we will notify you as soon as possible and will refund the full fee amount paid including your deposit.Cancellation policy* I have read and agree to the above policy Informed consent agreement1. Educational Nature of the Program By registering for this course, I understand that the workshop, classes, and materials presented by the Practitioner and Support Team are strictly educational in nature. The course focuses on the principles of Ren Xue, Yuan Qigong, healing, and life cultivation, including techniques for observing and resolving patterns of thought and emotion. 2. No Psychological or Medical Treatment I explicitly acknowledge that the Practitioner and the Support Team are a certified Ren Xue / Yuan Qigong teachers, not licensed mental health professionals, psychologists, psychiatrists, or medical doctor in the State of California or the United States. I understand that: · This workshop does not constitute clinical psychotherapy, psychological counselling, or medical treatment. · No clinical diagnosis, assessment, or treatment plans will be provided. · The content of this course is not a substitute for professional medical or mental health advice, diagnosis, or treatment. 3. Participant Responsibility I agree that I am fully responsible for my own physical, mental, and emotional well-being during and after the course. If I am currently navigating severe psychological distress, mental health conditions, or medical issues, I understand it is my responsibility to consult with a qualified, licensed healthcare professional in my local jurisdiction. 4. Assumption of Risk and Release of Liability I choose to participate in this educational program voluntarily. I hereby release and hold harmless the Practitioner, Ren Xue of the Americas, and any associated venue or volunteers or staff from any and all liability, claims, or demands arising out of my participation in this course, including any shifts in my physical health or emotional well-being that may occur as a result of practicing these life-cultivation methods. I have read, understood and agree to the terms above. Informed consent agreement** I have read and agree to the above consent agreement CAPTCHAPlease NotePlease wait up to 1-3 minutes for payment to process, please do not press submit more than once. Join us for a unique experience of uplifting your life. Meet old and new friends
