Jack Kornfield & Stanislav Grof

Insight and Opening ~ The Power of the Breath and Meditation Jack Kornfield & Stanislav Grof & Wes Nisker & Christina Grof plus special guest lecturer - neuroscientist Dan Siegel September 25 - October 2, 2011, Joshua Tree, California The Insight and Opening retreat is an intensive setting for exploring Holotropic Breathwork TM and Buddhist insight meditation. This unique blend of disciplines is presented in a safe and supportive environment as an opportunity for inner work, which can be integrated into daily life. The schedule for this retreat will be full. Each morning there will be instruction, lecture and periods of meditation. The afternoons will be devoted to the practice of Holotropic Breathwork and integrative activities such as mandala drawing. Evenings will include meditation and discussion in small groups facilitated by Grof Certified Holotropic Breathwork facilitators. Lectures will include the fundamentals of Buddhist Psychology and practice; the theory and practice of Holotropic Breathwork; the New Paradigm and a blend of topics from Eastern and Western Psychology. Each participant will work with a partner throughout the retreat and will have two sessions of Holotropic Breathwork as a breather and two as a sitter for their partner. This retreat provides 60 Continuing Education hours for MFT and Social Workers in California, which may also be reciprocal with other states. It counts as one elective module in the GTT program for certification in Holotropic Breathwork. WHERE: Joshua Tree Retreat Center 59700 29 Palms Highway Phone: (U.S.) 760-365-8371 Joshua Tree, California 92252 Joshua Tree Retreat Center is a secluded, peaceful meditation center located on 420 acres of pristine desert land just 90 minutes from Ontario Airport, 50 minute from Palm Springs Int l Airport and only 5 miles away from Joshua Tree National Park. The architecture is a collaboration between Frank Lloyd Wright and his son, Lloyd Wright. Please have people contact you at Joshua Tree Retreat Center, not through the GTT office. 1

COST AND REGISTRATION: The cost of this retreat is $1545 including food and accomodation, based on a room occupancy of 3-4 people. Some double rooms are available at a supplement of $250 per person. There will be 20 places available at the cost of accomodation only these places are for people under the age of 30, who would otherwise not be able to attend the retreat. Please contact GTT for an application if you feel you are eligible for one of these places (under 30 only). To register, please complete the registration and medical forms below, and return to GTT by mail, fax or email (see registration form). If paying by credit card, you may email the form and leave your credit card information on voicemail. Your fees will include tuition, meals and lodging as indicated above. Payment should be made by with your registration. We expect the retreat to fill early, so if you know you want to come, register promptly. Registration: Sunday, September 25th, beginning at 2:00 pm, followed by supper and evening sessions. Departure: Sunday, October 2nd after lunch, approx. 1:30 pm ACCOMMODATIONS: There are two rooming options: sharing with 3-5 persons or a limited number of double rooms there are no single rooms available for this retreat. We hope to be able to accommodate everyone s first choice. If you have a roommate in mind, please let us know on the form. IMPORTANT: If we cannot give you your first choice of rooming, your fee will be adjusted to match the actual rooming situation you occupy. MEALS AND SPECIAL DIETARY REQUESTS: Meals begin on Sunday evening and go through to the following Sunday lunch. All meals in between are included. Meals will have vegetarian and non-vegetarian choices. Please indicate on the registration form which of those options you will actually eat at the retreat. We can accommodate food allergies or medically required diets, but ONLY IF REQUESTED BY ONE WEEK PRIOR TO THE RETREAT. DAILY SCHEDULE: Except for the first and last days (see above), this will be the approximate daily schedule: Meditation 7:00 7:45 Afternoon session 1:45 6:00 Breakfast (silence) 7:30 8:30 Dinner (silence) 5:45 6:45 Morning session 8:45 12:00 Meditation 7:15 8:00 Lunch: 12:15 1:15 Evening Session 8:00 9:45 Meditation (optional) 9:45 10:15 TRANSPORTATION: Travel info for airport, shuttle, and driving is available. Let us know if you it. About three weeks before the retreat, we will send an email asking who wishes to give their travel information to each other for the purpose of sharing ground transportation. WHAT TO BRING: Comfortable clothes, walking shoes or hiking boots, jacket, hat, personal journal, sunscreen, water bottle, swimsuit, lip balm, flashlight (it is very dark in the desert). Keep in mind the desert climate it is very dry, so please remember sunscreen, hydration, and layered clothing for cool mornings and evenings. Sorry, no pets. BREATHWORK MATS AND COVERINGS: Participants will not be allowed to take pillows, blankets, or mattresses from sleeping rooms into the group room. Some mats, sheets and blankets (but not pillows) are provided, but if possible, especially for those driving, please bring a mat and bedding. CANCELLATION POLICY: $100 of your payment per each module is a non-refundable processing fee. The balance is refundable upon cancellation until September 10. There can be no refunds for any 2

reason after that date. If you send a registration form without sending a payment, once confirmed, the cancellation policy still applies and you will be expected to pay any amounts due. SUBSTANCE USE POLICY: Use of any non-prescription drugs or other illegal substances is not permitted during the retreat, including between sessions, or at the retreat site. Anyone using such drugs or substances during the retreat, including between sessions, or at the retreat venue will be asked to leave and will not receive a refund. PRESENTER BIOS: Jack Kornfield, Ph.D. in clinical psychology, trained as a Buddhist monk in the monasteries of Thailand, India and Burma. He has taught meditation internationally since 1974 and is one of the key teachers to introduce Buddhist mindfulness practice to the West. His teachers include the Buddhist master Venerable Ajahn Chah from Thailand and Venenerable Mahasi Sayadaw from Burma. After many years of study in Asia, Jack Kornfield returned to the United States and cofounded, with Sharon Salzberg and Joseph Goldstein, the Insight Meditation Society in Barre, Massachusetts before going on to help create Spirit Rock Center in Woodacre, California. Jack Kornfield is a founding teacher of the Spirit Rock Center, where he currently lives and teaches. In addition to being a husband, father, and activist, Kornfield teaches at Spirit Rock Center and at other venues nationally and internationally, working with some of the greatest teachers of our time, including the Dalai Lama. Stanislav Grof, M.D., is a psychiatrist with over fifty years experience researching non-ordinary states of consciousness. Stan Grof is one of the founders and chief theoreticians of transpersonal psychology and founding president of the International Transpersonal Association (ITA). In this role, he organized, jointly with Christina, large international conferences in the United States, India, Australia, Czechoslovakia, and Brazil. At present, he Professor of Psychology at the California Institute of Integral Studies (CIIS), teaching in the department of Philosophy, Cosmology and Consciousness. He lives in Mill Valley, CA, writes books, conducts training seminars for professionals in Holotropic Breathwork and transpersonal psychology (for Grof Transpersonal Training) and gives lectures and seminars all over the world. Wes Nisker is an author, radio commentator, Buddhist meditation teacher and performer. He has studied Buddhist meditation for over thirty years and for the past twenty years has been leading workshops in Buddhist insight meditation and philosophy. Wes is an affiliate teacher at the Spirit Rock Meditation center in California and leads regular workshops at the Esalen Institute. Christina Grof is an author, teacher, artist, psychotherapist, founder of the Spiritual Emergence Network, and co-creator of Holotropic Breathwork. She is past-president of Grof Transpersonal Training, vice-president emeritus of the International Transpersonal Association (ITA), and an advisor to the board of the Spiritual Emergence Network. For almost thirty years, she has been active in the field of Transpersonal Psychology, which includes the spiritual aspects of human nature, as well as the emotional, mental, physical, and social aspects, as essential to a full understanding of the whole person. Dr Daniel J. Siegel received his medical degree from Harvard University and completed his postgraduate medical education at UCLA. Dan Siegel is currently a clinical professor of psychiatry at the UCLA School of Medicine, where he is also on the faculty of the Center for Culture, Brain, and Development and the Co-Director of the Mindful Awareness Research Center at UCLA. An awardwinning educator, he is a Distinguished Fellow of the American Psychiatric Association and recipient of several other honorary fellowships. Dr. Siegel is also the Executive Director of the Mindsight Institute, an educational organization that focuses on how the development of mindsight in individuals, families and communities can be enhanced by examining the interface of human relationships and basic biological processes. His psychotherapy practice includes children, adolescents, adults, couples, and families. 3

Grof Transpersonal Training 38 Miller Ave. PMB 516 Phone :(415) 383-8779 Mill Valley, California 94941 Fax: (415) 383-0965 www.holotropic.com gtt@holotropic.com REGISTRATION FORM Insight and Opening Retreat Joshua Tree, California September 25-October 2 2011 Please return this form with your payment. Please return Medical Form with registration. You will also be asked to sign a waiver/release form before attending. A confirmation email will be sent to you upon receipt of this form and your payment. Name Address City State or Country Zip or Postal Code Phone (mobile) (other) e-mail ROOM CHOICE WILL DEPEND ON AVAILABILITY I AM REGISTERING FOR THE INSIGHT AND OPENING RETREAT : Amount: 4-6 people to a room $1545 Double room $1795 PAYMENT Full payment preferably by check (made out to Grof Transpersonal Training, should accompany this registration, unless you have contacted us to make other arrangements. Those registering from outside of the U.S. have several options. You may pay by wire transfer (instructions below), or send a check made out in U.S. dollars drawn from a U.S. bank. We can also accept Visa, Mastercard, or Discover. See below. I am enclosing payment of $ or I am sending a transfer for $. Please charge my Visa or Mastercard $. (Please add $10.00 for wire transfers and $25 for payments made by credit card.) Contact us for information about work/study or payment plans. If paying by Visa or Mastercard, please print the 16-digit card number, expiration date, and (US.only) zip code for the address on your credit card bill. - - - Exp.date 3 digit code on back of card Cardholder address if different from above OTHER I will be driving from * Drivers: I will bring my own plus set of mats, sheets and blankets. I will flyi into Ontario fly into Palm Springs other (specify) I smoke: Y or N Snore: Y or N I would like to share a room with: I am vegetarian: Y or N I have a food allergy or medically required diet (please specify): PLEASE READ AND SIGN THE FOLLOWING. YOUR SIGNATURE IS REQUIRED FOR REGISTRATION. CANCELLATION POLICY $100 of your payment is a non-refundable processing fee. The balance, minus cc or wire fees, is refundable upon cancellation until September 10. There can be no refunds or credits after that date. If your registration is confirmed without your having sent payment, the cancellation policy still applies, and you will be expected to pay any amounts due. SUBSTANCE USE POLICY Use of any non-prescription drugs or other illegal substances is not permitted at any time during the retreat (including time between sessions) or at the retreat venue. Anyone using such drugs or substances during the retreat will be asked to leave and will not receive a refund. I have read and understand the above cancellation policy and substance use policy. Signature Date For office use: Date rec'd Confo sent Check # Amount 4

Medical Form for Holotropic Breathwork Breathwork is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. Holotropic Breathwork can involve dramatic experiences accompanied by strong emotional and physical release. This workshop is not appropriate for pregnant women, or for persons with cardiovascular problems, severe hypertension, some diagnosed psychiatric conditions, recent surgery or fractures, acute infectious illness or epilepsy, or active spiritual emergency. If you have any doubt about whether you should participate, it is essential that you consult your physician or therapist as well as the workshop organizers before attending. The answers to the following questions are to assist your facilitators and will be kept strictly confidential. Please answer all questions as completely as possible. 1. Do you have a past history of, have been diagnosed with, or are currently experiencing, any of the following: YES NO A) Cardiovascular disease, including heart attacks and any cardiovascular surgery B) High blood pressure C) Diagnosed psychiatric condition D) Recent surgery E) Past or recent physical injuries, including fractures or dislocations F) Present or current infectious or communicable diseases G) Glaucoma H) Retinal detachment I) Epilepsy J) Osteoporosis K) Asthma (If yes, please bring your inhaler to the workshop) 2. Are you currently pregnant? 3. Have you been hospitalized in the past 20 years for significant medical issues? 4. Have you ever been psychiatrically hospitalized? 5. Are you currently in therapy or involved in any type of support group? 6. Are you currently taking any type of medication? Describe on back. 7. Is there anything else about your physical or emotional status we should be aware of? 8. Emergency contact information: name phone If you answer "yes" to any of these questions, it is essential that you explain your answer on the back or on an attached page. This medical form must be received by your workshop organizer as part of your registration. We cannot send your confirmation letter until we ve received your medical form PLEASE READ AND SIGN THE FOLLOWING STATEMENT: I hereby confirm that I have read and understood the above information, and have answered all questions completely and honestly, and have not withheld any information. My general health, as far as I am aware, is good. Signature & please also print your name Age Gender Date I have experienced Holotropic Breathwork before: Y or N I have experienced insight meditation before: Y or N 5