Overnight Reservations 2 -used in fall retreat 2022

Contact Information

Each person who is requesting accommodations must fill out this form
Name*

PrefixFirst NameLast Name
Email*
example@example.com
Home Telephone*

Area CodePhone Number
Mobile Telephone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Member Affiliation

I am a member of Palpung Thubten CholingI am a member of an affiliated center of Palpung Thubten Choling (please type name below)
Your Visit and Accommodations
Room Type Requested*

Dormitory (Non-Member $40; Member $30)Double Occupancy Room Guest House (Non-Member $50; Member $40)Private Room Guest House (Non-Member $60; Member $50)Double Occupancy Room Maitreya Center) Non-Member $70; Member $60)Private Room Maitreya Center (Non-Member $80; Member $70)Tent Camping ($25 first person, $20 each additional)
Please note: Due to our limited number of guest rooms, single occupancy rooms may not be available.
Are you fully vaccinated against (COVID-19)?

YesNo
Purpose for Overnight Accommodations

Just VisitingSeminar with LamaTong ChöOther
Arrival Date

MonthDayYear
DateHourMinutesAM/PM Option
Departure Date

MonthDayYear
DateHourMinutesAM/PM Option
Guests are asked to assist in routine center chores. One hour of work service daily is assigned to overnight visitors by PTC staff. Day visitors are asked to pitch in as they can. With this in mind, please check only items you are NOT able to do:
I Will Be Attending

Lunch
Dairy Preference

Dairy is okNon-dairy
Additional Information
Friday Night Dinner

I will attend the Friday night dinnerI will not be attending Friday night dinner
Guests are asked to assist in routine center chores. With this in mind, please check only items you are NOT able to do:
I am NOT able to do the following jobs during my visit:

Fill water bowls in the shrine room (6 am)Empty water bowls in the shrine room (afternoon)Help prepare mealsClean up dining roomHousekeepingLight outdoor workHeavy outdoor work
Comments
Number of Nights*
Security Verification*
Should be Empty: