Shaftsbury Hollow Retreat of Self-Realization Fellowship
August 1 - 9, 2026 Convocation Retreat Registration Form
Full Name
*
First Name and Middle Initial
Last Name
Gender
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Please provide a mobile phone number (so that we can reach you en route or during your stay at the Retreat). If you do not have one, write "none" in the space provided
*
Please provide your home phone number if different from the number above.
Are you a student or member of Self-Realization Fellowship?
*
yes
no
Please enter your SRF Reference number here:
Nine digit number found after name on mailings from SRF or you can find it in your profile on the SRF member portal.
Please choose one of three options below.
Priority will be given to those who register for Option 1 by???
Please select one:
*
Option 1 - the entire week August 1-9 (Suggested donation including meals but not lodging $???? total)
Option 2 - the monastic portion of the week August 1-4 (Suggested donation including meals but not lodging $???? total)
Option 3 - partial attendance for specific dates listed below (Suggested donation including meals but not lodging $???? per day plus $35 for August 1 -4 (to help pay for monastic travel expenses.
If you chose Option 3 above, please indicate the dates you plan to attend.
*
Write NA if you choose Option 1 or 2 above.
Would you like to serve as a core volunteer for the days you will be attending?
*
Yes, please register me as a Core Volunteer.
No, I prefer not to volunteer at this time.
Has your mobile #, email or home address changed within the last 5 years?
*
Yes
No
Lodging
*
On Site single room for Core Volunteers only (Suggested Donation $??? per night in addition to registration donation) (This is very limited for women.)
On Site double room for Core Volunteers only (Suggested Donation $??? per night in addition to registration donation
Off Site lodging
Please select the statement below that best describes your preference. This will be used if your first choice of accommodations is not available.
*
I requested onsite lodging; but if none is available, please register me for Offsite. Put me on a waiting list for on site.
I requested onsite lodging; but if none is available, please do not register me. Put me on a waiting list for an onsite room.
I requested Offsite lodging.
Do you have any dietary restrictions, mobility limitations or special needs? Also, all those attending this retreat will be assigned meal or usher duties. Please let us know if you have limitations on your ability to serve. Use this space to explain.
Please note we do not serve meat, fish or fowl, so no need to list those.
Would like to help clean up at the end of the retreat?
*
Yes, I am able to stay until 3:00 pm on Sunday to help clean up
No, I need to leave at the end of the the retreat.
Please use this space for questions, comments or other pertinent information:
Please do not submit this form before 7 pm EDT on ???.
If you do not receive a confirmation of receipt of registration from Jotform within 2 hours, please resubmit the form. It could take up to two week to receive a reply for the retreat registrar.
Registration closes Friday, June 13.
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