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A Five Elements Pilgrimage Retreat in Yamanashi

Please take a few moments to fill out this form to complete your RSVP for our retreat happening Aug 28-30th, 2026 in Kakurinbo, Yamanashi.

🚌 Meeting Point: Please meet at Shinjuku station Expressway Bus Terminal at 7:20am on Aug 28th to catch our bus. Our bus leaves at 7:44 am. Ticket is paid for, so you just need to show up.

Emergency Numbers: Misha: (+81) 090 8013 7249 is my regular cell and my WhatsApp is +81-08051858742. Retreat number: (+81) 0556-62-0014 (please share this with your emergency contact, in case anyone needs to contact you while you are offline)

First Name

*

Email address

*

What is your intention for this retreat?

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Relaxation in nature

Digital detox

Personal growth

Emotional release

Connecting with others

Learning new meditation skills

Spiritual connection

Understanding myself better

Other

What is your meditation experience?

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A

Less than 1 year

*

B

1-3 years

C

3-5 years

D

5+ years

Do you have any dietary restrictions?

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Vegetarian

*

Vegan

Gluten free

No restrictions

Other