Name
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First Name
Last Name
Email
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Phone
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Country
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Virtual retreat availability
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Please select all that apply. All times are South African Standard Time.
In-person retreat availability
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Please select all that apply. The aim is to hold the retreat over five consecutive days at a venue in South Africa that is convenient for us all and allows us to focus and be fully present in the moment. The dates have been selected to coincide with the school holidays.
I have read and understood the project's full information sheet.
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I have also been able to ask questions about the project and my questions have been answered to my satisfaction.
I consent voluntarily to participate and collaborate in this project.
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I also understand that I can refuse to answer questions or participate in any discussions, and that I can withdraw from the project at any time without having to give a reason. Should I withdraw after November 2023, I understand that may not be possible to remove my information from project outputs that may have been submitted at that time.
I understand and accept that commune sessions may be recorded digitally, as decided democratically and with the consent of all members.
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I am capable of and comfortable with giving, refusing or revoking my consent to record the commune's sessions.
I agree to maintain the confidentiality of all discussions.
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I also agree to participate in formulating and following the commune's shared norms and expectations, guided by the objective of creating consensual, harmonious relations. I agree to follow the initial proposed norms and expectations, which are that each of us will strive to:
– Dedicate time to the process, craft and act of writing,
– Be present at each convening,
– Take an active interest in our own work and that of other members and the commune's collective work,
– Be open, engaged, reflexive, critical and encouraging, and
– Value and seek consensual, harmonious relations.
I understand that information I provide may be used for the project described in the information sheet and that the information will be anonymized unless I opt-out in writing
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We will always ask for your permission and will share with you any outputs that contain your information before any publication.
I agree that my anonymised information can be used in the project outputs.
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We will always ask for your permission and will share with you any outputs that contain your information before any publication.
I agree that if I opt out of anonymization, my real name can be used in the project outputs.
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We will always ask for your permission and will share with you any outputs that contain your information before any publication.
I understand that any personal information that can identify me – such as my name and email address – will be kept confidential and not shared with anyone without my permission other than fellow commune members
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I give permission for the anonymised information I provide to be deposited in a data archive and stored for no longer than is necessary for achieving the purpose for which the information was collected.
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