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)
*
Nine digit number found after name on mailings from SRF or you can find it in your profile on the SRF member portal.
Please reserve a room for me for the weekend(s) of: The suggested donation is $200 per Weekend.
*
May 29 - 31, 2026
June 26 - 28, 2026
July 17-19, 2026
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, May 28
Thursday, June 25
Thursday, July 16
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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