Shaftsbury Hollow Retreat of SRF
Personal Retreat Registration Form
Each person wishing to attend a personal retreat should fill out a separate form. If you will be attending with another devotee, please note that in the question/comment section below.
Full Name
*
First Name
Last Name
Gender
*
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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 an SRF Lessons student or Kriyaban member of Self-Realization Fellowship?
*
Yes
No (Please note that only SRF students and members are eligible to attend personal retreat weekends.)
SRF Reference Number (e.g:xxx-xxx-xxx)
Please reserve a room for me for the weekend(s) of: The suggested donation is $200 per Weekend.
*
March 13-15
I would like to arrive the day before the retreat begins. Please reserve a room for me on Thursday night: The suggested donation is $50 per night .
Thursday, March 12
Please reserve a room for me for the weekend of: The suggested donation is $200.
*
February 6-8
March 13-15
Do you have any mobility limitations or special needs of which we should be aware? Please explain.
Please use this space for questions, comments or other pertinent information:
Please submit this form at least one week prior to the weekend you wish to attend. Thank you.
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