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Visitor / Personal Retreat – Application
About you
Name
*
First
Last
Email
*
Mobile phone number
*
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
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Virgin Islands, U.S.
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Date of birth
*
DD dash MM dash YYYY
Dietary requirements (if any)
Emergency contact (name & phone number)
*
Spiritual practice history
*
Are you new to meditation? If not, please give a short summary of your spiritual practice and dharma training. Include information on any meditation disciplines you have been involved in. Have you ever been to a Shambhala Centre or other Buddhist centre before?
About your stay
How long would you like to stay?
*
Please enter your preferred dates of arrival and departure.
If your visit request is accepted, what time will you arrive?
*
Please be specific (you will need to notify us if this changes).
What is your accommodation preference?
*
Please note that we cannot guarantee that it will always be possible to provide your first preference.
Own tent - €25 per night (Summer season)
Dormitory/DCL tent - €31 per night
Two person room - €45 per night
Single room - €55 per night
Full bedding
For all lodging options (two-person tent, dormitory or bedroom), we provide simple bedding composed of a fitted sheet, light blanket, pillow and pillowcase. If required, full bedding is available and includes a duvet, duvet cover and bath-towel.
Provide full bedding (+10 euro)
Do you require full bedding and a towel? - €12.50
Which languages can you speak fluently?
*
French
Spanish
Dutch
English
German
Health Insurance
*
I accept that I have to take care of my own health insurance during my stay at Dechen Chöling.
Travel Arrangement
*
I understand that I am responsible for my own travel arrangements and expenses to and from Dechen Chöling
Other information
Psychological and medical history
*
Do you have any psychological or medical issues that we should be aware of? Do you take any medications for psychological or physical conditions? Please explain.
Motivation
*
Tell us a bit about your motivation for coming to Dechen Chöling. What interests you and how would you like to spend your time here?
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