Registration Form
Note
: We need to recieve your deposit before you are registered. If you are sending a check, we recommend that you print out the PDF form and send them in together. Thank you.
For Printable PDF Form, Click Here
Retreat:
Akhandanama: May 24
Community Camp: June 1-7
Vast Silence: June 8-12
Dervish Healing Order: June 23-29
Alis Plastering with Carole Crews: July 2-3
Lime Plastering with Bob Campbell: July 5-7
Discover the Wood Goddess Within with Shay Salomon: July 5-11
A Walk Between Heaven and Earth: Aug. 12-20
Singing in Circle: Aug. 20-24
Queer Spirituality: Aug. 29-Sept. 1
Abdul Hayy Darr: Sept. 12-16
Today's Date:
Your Name:
Additional Name(s):
Child(ren) and Age(s):
Email:
Phone Number:
....................
Other Phone:
..........
Emergency Contact Info:
Name
:
.......................................................................
.
Phone:
....
Mailing Address:
City:
...........................................
State:
....................
ZIP:
..............................
Country:
..........
............
............
Notes:
I wish to recieve confirmation and retreatant info by: Email
Postal Mail
Both
Housing: ...
Tent
...Car Camping
...Dorm space at $7-$15 a day (sliding scale)
Carpool: .....
I can offer a ride
.....I need a ride
.....Neither
Retreat Cost:
$
.............X number of adults =
$
$
...1/2 X number of children =
$
+ cost of dormitory at $7-$15 per day
............=$
...................................................................... Total =
$
Deposit 50% of total
.............................Deposit =
$
If registering within 30 days of retreat start, 100% of total is due.
Please call us to pay with a credit card or if you have any questions.
.
Thank you. We look forward to seeing you!
The Lama Foundation
P.O. Box 240, San Cristobal, NM 87564
Telephone: 575-586-1269, Fax: 206-984-0916
©2005, The Lama Foundation. All rights reserved.
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