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Note: We need to recieve your deposit before you are registered. If you are sending a check, we recommend that you print out the form and send them in together. Thank you.
For Printable PDF Form, Click Here

Retreat:


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:
.......... ........................

Please let us know if you have any health concerns or special dietary needs ( eg. vegan, gluten-free or raw food).


I wish to recieve confirmation and retreatant info by: Email Postal Mail Both
Housing: ...
Tent ...Car Camping ...Dorm space at $10-$50 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 $10-$50 per day .........=$
...................................................................... 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




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