Sulzbrunn 2026 Registration Form

Step 1: Fill out registration form.

Name

First Name

Last Name

Accommodations

Choose your accommodation. Note: shared housing is organized by gender.

Meals

Do you have any dietary restrictions? Note: There's no extra charge for vegan and vegetarian. The retreat center charges an extra 62.50 € for special dietary needs like gluten-free, nut-free, lactose intolerant, etc. If you have any other special needs, reach out to jessi@upalimeditation.com

Lottery

Would you like to enter a lottery to get a single room for an extra €160 or €272? (Additional price depends on if you originally purchased a double or a 3-4 person room.) If so, we'll contact you about a month before the retreat to let you know if you win the lottery and can upgrade.

Yes, sign me up.

No, thanks.

Meditation Practice History

What does your meditation practice look like? Feel free to write something quick and brief or skip this if Upali and/or Tucker already know your practice. Helpful things are: 1) Length of practice history 2) Favorite practice technique(s) and 3) consistency of meditation practice off of retreat (ex. 30 min daily). You can also include any intention or hope that you’re holding for this retreat. We’ll have time to talk about your practice in interviews, but this helps give Upali and Tucker context.

Community Code of Conduct

Tucker and Upali's retreats follow this Community Code of Conduct. You are expected to adhere to it while on retreat. The code is intended to create an environment that is, above all, safe and also deeply supportive of practice. Below are some of the codes that are important to highlight because of their different-from-daily-life and sometimes challenging nature.

I agree to refrain from speaking while in noble silence except in cases of emergency or when necessary (ex. talking with a teacher in an interview, communicating with staff about food allergens, working with a fellow yogi on a task, etc.)

I agree to refrain from cell phone use unless I'm using my cell phone as a clock or flashlight. I agree to refrain from use of computers, tablets, and any other uneccessary electronic devices.

I agree to refrain from reading and writing. The one exception is if you are reading a book that is a manual for meditation (not a general dharma book), and if you are only reading the section of the manual immediately relevant to your technique at the moment.

I agree to abstain from mind-altering substances, unless they are prescribed by a doctor and/or would cause withdrawals if you abstained (e.g. caffeine, nicotine).

I agree to abide by the general code of conduct as it is relevant to this retreat.

Medical History

Do you currently have, or have you in the past been diagnosed with or treated for, any mental health conditions? If you're certain Upali already knows this info about you (eg you've been on a retreat with Upali in the past and this information hasn't changed), it's OK to leave this blank. If you'd rather talk about this privately, please leave it blank and contact Upali and/or Tucker before the retreat starts. Historically, no one has been excluded from Upali or Tucker's retreats based on this information, but it's helpful to know, as it can change the way meditation might affect you.

Emergency Contact

Emergency Contact (First name, last name, relationship)

Emergency Contact

Emergency Contact (phone number)

Waiver

Below is a retreat waiver. Please sign it by typing your first and last name in the box below. The individual electronically signing this form by typing my name (referred to as “I” or “me“) desires to attend a meditation retreat (the “Activity“) provided by Mahnamana Psychotherapy and Meditation, PC, a California professional corporation, and Upali Meditation LLC, (the “Companies“). All actions I take in connection with such retreat by the Companies shall be considered the Activity. In consideration of being permitted by the Companies to participate in the Activity, I agree to all the terms and conditions set forth in this document (this “Release“). I agree to personally accept any and all risks associated with this retreat, occurring before, during, or after the retreat. I understand that teachers may help make a spreadsheet suggesting a possible carpool choice that I can make. I know that teachers may not know other drivers or passengers, that drivers and passengers are not affiliated with, agents of, or working on behalf of the teachers, and teachers hold no liability for actions or negligence of drivers or passengers. I am aware that while the Companies are taking precautions against transmission of disease, it is of course still possible that I will catch a contagious disease, including Covid-19, while on the retreat, and I personally accept all such risks and release the Companies from any claims related to the same. I understand that Tucker Peck is working in his capacity as a meditation teacher, not a psychologist, and that he is not providing psychological or medical advice. If I need treatment for mental health concerns or any other reason, I will seek out a healthcare professional licensed in my area. I have sufficiently educated myself and requested sufficient information from the teachers on the benefits and risks of the Activity. I understand that Upali and Tucker are functioning as teachers while I rent a room from a facility, and that I am responsible for my own safety and wellbeing. I AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY DANGEROUS ACTIVITY. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF THE COMPANIES. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM KNOWINGLY AND VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH AN EXPRESS UNDERSTANDING OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY, DEATH, PROPERTY DAMAGE, OR OTHER DAMAGE OF ANY KIND ARISING FROM THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE COMPANIES OR OTHERWISE. I hereby expressly waive and release any and all claims which I may have, or which I may hereafter have, whether known or unknown, against the Companies, and its officers, directors, managers, employees, contractors, consultants, representatives, agents, affiliates, owners, successors, and assigns (collectively, “Releasees“), including without limitation Tucker Peck and Paul Peterson (AKA Upasaka Upali), arising out of, related to, or attributable to the Activity, whether arising out of the ordinary negligence of the Companies or any Releasees or otherwise. I covenant not to make or bring any such claim against the Companies or any other Releasee, and I forever release and discharge the Companies and all other Releasees from liability under such claims. This waiver and release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that California law does not permit to be released by agreement.I understand that by signing this release, I am waiving any and all claims, of any kind arising out of or attributable to the Activity, including those claims that may be unknown to me, or which I do not suspect to exist at this time. WITH THE INTENTION OF WAIVING ALL UNKNOWN AND UNSUSPECTED CLAIMS, I HEREBY EXPRESSLY WAIVE ALL RIGHTS, BENEFITS, AND PROTECTIONS I MAY HAVE UNDER CALIFORNIA CIVIL CODE SECTION 1542, WHICH READS AS FOLLOWS: A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party. I shall defend, indemnify, and hold harmless the Companies and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including attorney fees, fees, the costs of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance providers, incurred by the Companies or any other Releasees arising out of or resulting from any claim of a third party related to my participation in the Activity, including any claims arising out of my own negligence or the ordinary negligence of the Companies. This Release constitutes the sole and entire agreement between the Companies and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Release is held invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction, and such term shall be enforced to the maximum extent allowed by law. This Release is binding on and shall inure to the benefit of the Companies and me and their respective heirs, successors, and assigns. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction). Any claim or cause of action arising under this Release may be brought only in the state courts located in Alameda County, California and I hereby consent to the exclusive jurisdiction of such courts. BY ELECTRONICALLY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND FULLY UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANIES FOR CLAIMS, WHETHER KNOWN OR UNKNOWN, ARISING OUT OF THE ACTIVITY.