Encinitas Retreat Request Form

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Please complete the form below and submit it at least two weeks before your requested retreat dates. An Encinitas Retreat registrar will respond shortly.

Personal/Contact Information

First Name

Last Name

Phone (with country code)

Time Zone

Best Time To Call

Address Line 1

Address Line 2

City

State / Province

Zip Code

GenderMaleFemale

SRF or YSS Number

Due to the high interest in attending the Retreat and the limited accommodations available at this time, the Retreat is currently only able to be offered to Self-Realization Fellowship students.

Would you like to attend the retreat with another individual?YesNo

First Name (family member)

Last Name (family member)

Email (family member)

Phone (family member)

Time Zone (family member)

Best Time To Call (family member)

Address Line 1 (family member)

Address Line 2 (family member)

City (family member)

State / Province (family member)

Zip Code (family member)

If you wish to attend with another person, they need to fill out a separate request form. Please indicate their names and relationship.

Food, Accommodation, and Transport

Each Retreat accommodation is a self-contained apartment, located within an apartment complex adjacent to the SRF Encinitas Ashram Center grounds. Each Retreat apartment has a shared furnished kitchen, shared bathroom, and a private bedroom secured with lock and key. Retreatants will be responsible for their own meals.

Some Retreat apartments are on the ground floor, some on the second floor. Do you have challenges climbing up/down stairs or carrying your belongings up/down a flight of stairs?YesNo

Do you have any health concerns or physical limitations that you would want us to be aware of? If yes, please provide details below:YesNo

If yes please explain

Does your family member have any health concerns or physical limitations that you would want us to be aware of? If yes, please provide details below:YesNo

If yes please explain

Reservation Dates Requested

Check-in: Check-in time Monday-Saturday is between 2:00 p.m. - 4:30 p.m and on Sunday at 4:00 p.m. (Pacific Time). The Retreat Office closes at 5:00 p.m. and special arrangements can be made to accommodate unavoidable after-hour arrivals.

Check-out: Please check-out of the retreat by:

Monday - Saturday by 10 a.m.
Sunday by 1:00 p.m.

Choice 1 - Check-in:

Choice 1 - Check-out:

Choice 2 - Check-in:

Choice 2 - Check-out:

Choice 3 - Check-in:

Choice 3 - Check-out:

Additional Comments

Would you like to share any additional information?

Thank you!

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Encinitas Retreat Request Form

Personal/Contact Information

Food, Accommodation, and Transport

Reservation Dates Requested