Registration Form for Meditation Retreats


Name: __________________________________________ Phone: _______________________


Address: ________________________________________ E-Mail: _______________________


Date Arriving: ___________________________ Time of Arrival: _________________________


Date Leaving: ____________________________ Time of Departure: _____________________


Name of Group Retreat (if applicable):[1] _____________________________________________


Dorm Room? __________   Single Room (If available)? _____________ Tent? ____________


I will stay elsewhere and only attend classes/meditation sessions (Let us know if you will join

the group for Oryoki meals.) _____________________


Which facility do you wish to reserve for a private retreat?


Chalet: _____________ Yurt (Dharma Protector Chapel: _____________ Tent: __________


Any food allergies or special needs?


Please e-mail the above information to If a unit meeting your requirements is available, we will inform you and the deposit required to hold the unit. Please note that there can be absolutely NO fires or lights in the Dharma Protector Chapel and certain dharma rules must be observed.

Special Requirements to Take a Long-Term Retreat:

Please attach a brief summary of your reasons for taking a long-term retreat and a letter of recommendation from your Vajra Master that indicates your readiness for such a retreat and includes his/her phone number and/or email.

[1] Go to SCHEDULE for names of offered Group Retreats.