Family Retreat 3 Bed Dorm Space - Make reservation

Deer Park Monastery » Family Retreat 3 Bed Dorm Space » Make reservation

Available

•

Partly available

Start Date

Reserved

Unavailable

Your rate:

Choose a date to see the rate

Reservation details

Resource*

Arrival Date*

Accommodation First Choice*
Please select your first choice of accommodation from the drop-down menu.
Accommodation Second Choice*
Retreatant First Name*
Retreatant Last Name*
Retreatant Age*
Each person attending the retreat must submit a registration form regardless of age. For babies under 1 year old, please enter 1.
Retreatant Date of Birth*
mm/dd/yyyy (four-digit year)
Retreatant Gender*
Retreatant First Language*
Retreatant Second Language
Sliding-Scale Contribution
Our standard registration fees are set at a reduced level to make retreat attendance more accessible. If you are able to contribute additional funds to your registration costs, it will help us offer financial assistance to those in need. The contribution selected will be added only once to the associated registration. Thank you.

Medical Information

Allergies
Please describe any allergies you may have. Kindly note that we are unable to accommodate special diets and we do not have a cooking space for guests. If you are on a special diet, you may wish to bring some vegetarian food that does not require preparation to supplement your meals.
Physical Health History
Please describe any on-going medical conditions you may have and list any medications you take for physical health.
Mental Health History
If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health.
Doctor's Name
Doctor's Telephone Number
Liability Waiver*
By checking the box above, I and all parties on this registration relieve Deer Park Monastery from all liabilities in the event of any injury or illness incurred while visiting Deer Park Monastery.

Mindfulness Trainings

Have you received the Mindfulness Trainings?
Please note that previous Mindfulness Training or previous experience is not required to attend the retreat.
Dharma Name
If you have been given a dharma or lineage name, please enter it here.

Billing Details

First name*
Last name*
Address*
City*
ZIP/Postal code*
State/Province*
Country*
Email address*
Type your email address again*
Phone*+1
Mobile+1

Emergency Contact

Name of Contact*
Please give us the name of someone not attending the retreat whom we can contact if there is an emergency with you.
Relation to you*
Telephone Number of Contact*
Language of Contact

Additional info

I agree to the Cancellation Policy*
For cancellations made prior to arrival day, partial refunds will be available with a cancellation fee of $10 per night for adults, and $5 per night for teens and children 6 years and older. Cancellations made on or after the retreat arrival day do not qualify for a refund. Registration is non-transferable.
Retreat Participation Policy*
By checking this box, I acknowledge that I am applying to register for a mindfulness retreat. If accepted, I understand that I am expected to participate in the daily retreat schedule of the monastery and to practice according to the Five Mindfulness Trainings during my stay (please see "The Mindfulness Trainings" page of our website for more info). I also understand that I am expected to remain on the monastery grounds for the duration of my retreat, unless I receive permission to leave and entry information to reenter. Further, I understand that, except in cases of emergency, I will not have access to monastery phones, computers, internet, or Wi-Fi, and that outside work, school, and family obligations must be set aside during my stay.
May we keep in contact?*
Please click on the drop-down arrow to select yes or no. We would like to keep in touch with you, to nourish you with news about the Plum Village tradition practice and community. We will keep your information safe and secure and we won’t share it with other organizations. You will always be able to unsubscribe easily through a link at the bottom of our e-mails. For further details on how your data are used and stored, please visit: https://deerparkmonastery.org/privacy-policy/
Retreat at Monastery
Is this your first time attending a retreat in the Plum Village Tradition?
Special registration code
If you have received a special registration code, enter it here.
Notes
Enter additional notes here.

* - required field