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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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Panama
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Tanzania, the United Republic of
Thailand
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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 - €15 per night (Summer season)
Dormitory - €21 per night
Two person room - €35 per night
Single room - €45 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?
Phone
This field is for validation purposes and should be left unchanged.
