Pacific Hermitage Retreat Registration Form

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Personal Information & Contact Information

Please indicate the retreat dates you are confirmed for.

Mailing Address

Emergency Contact

Name, phone number, and/or e-mail address of emergency contact. This should be someone that you are NOT travelling with.

Accommodation & Special Needs

Please note that kutis are rarely available. Most guests will be assigned to the main house. Particular room requests inside the main guest house are not permitted. We ask all guests to accept whatever accommodation is provided with a sense of contentment and gratitude.

Please tell us about any conditions that might affect your participation in the monastery schedule, activities, guidelines, adherence to the Eight Precepts, etc.

Please let us know if your condition is controlled by medication, stable or unstable. We also need to know if it is likely to cause you a problem while you are here and whether you anticipate needing any kind of special support during your visit.

Please tell us about any conditions that might affect your participation in the monastery schedule, activities, guidelines, adherence to the Eight Precepts, etc.

Please let us know if your condition is controlled by medication, stable or unstable. We also need to know if it is likely to cause you a problem while you are here and whether you anticipate needing any kind of special support during your visit.

If you have any additional information that you would like us to know, please list it here.

Guest Guidelines

The Birken Guest Guidelines can be found here.

All guests must abide by the Eight Precepts during their stay at the monastery. In exceptional cases (e.g. if you have hypoglycemia or diabetes), you may request an exception from the Eight Precepts to have a light evening snack. These exceptions must be approved by the Abbot prior to your visit and will be acknowledged in your booking confirmation.

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