Kriyaban Retreat

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3 People in your group

Guest 1		First Name* Please enter the name that should be used for billing purposes, ie, the name on your credit card. Last Name* Please enter the name that should be used for billing purposes, ie, the name on your credit card. Email* Please enter the email address that we should use to contact you. We keep your contact information confidential. Gender* Your gender identification helps us assign roommates in shared rooms. *If you select "Trans/Non-binary", please give us more information in the next question to help us best support you. Birth Date Dietary Restrictions All of our meals are vegetarian, with vegan and gluten-free options available. For any other restrictions, we cannot guarantee that we'll be able to accommodate your special needs.
Guest 1		First Name* Please enter the name that should be used for billing purposes, ie, the name on your credit card. Last Name* Please enter the name that should be used for billing purposes, ie, the name on your credit card. Email* Please enter the email address that we should use to contact you. We keep your contact information confidential. Gender* Your gender identification helps us assign roommates in shared rooms. *If you select "Trans/Non-binary", please give us more information in the next question to help us best support you. Birth Date Dietary Restrictions All of our meals are vegetarian, with vegan and gluten-free options available. For any other restrictions, we cannot guarantee that we'll be able to accommodate your special needs.

After completing this form, emails will be sent to everyone in your group to complete their information.

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4 Additional Info

Please provide us more details so that we can best prepare for your visit.

Preferred Name (i.e. spiritual, nickname, etc.)	Please enter the name you would like us to use for you, if different from the name you registered with.
Primary Phone	Please enter the phone number where we can most easily reach you, if need be. We keep your contact information confidential.
Address *	Please enter your current mailing address. We keep your contact information confidential.
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Gender *	Your gender identification helps us assign roommates in shared rooms. *If you select "Trans/Non-binary", please give us more information in the next question to help us best support you.
Please provide more information	Please give us more information about your physical biology for the purpose of room assignment. Provide as much information as you are comfortable with sharing, including if you are currently in transition.
Birth Date
Dietary Restrictions	All of our meals are vegetarian, with vegan and gluten-free options available. For any other restrictions, we cannot guarantee that we'll be able to accommodate your special needs.
Additional Dietary Notes	Please share any additional details about your dietary restrictions, especially if you selected "Other" above.
Requested Roommate	Traveling with a friend but reserving separately? Help us match your accommodations.
Comments or Special Needs	Please especially note here if you have limited mobility or require extra support.
How did you hear about us?
If you selected "Other", please share:
Why did you decide to attend this program?
If you selected "Other", please share:
Text Message Opt-In	I am ok to receive text messages associated with this registrationIn order to enhance your registration and guest experience, we would like your permission to communicate with you via text message. We will never use this for marketing purposes, and you can opt-out at any time.
Cancellation Policy	If you cancel or reschedule on or before 7 days prior to your arrival date, we can refund your entire payment, less a $55 processing fee. If you cancel or reschedule within 7 days of your arrival date, we will hold your deposit for one year as a credit for a future stay, less a $55 processing fee. If you have paid more than the deposit, we will refund the surplus amount to you.
Terms and Conditions *	I have read and accept the terms and conditions, including the cancellation and rescheduling policy, drug and pet policy, as well as roommate policy.Please read the terms and conditions

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1 Welcome

2 Accommodations & Rates

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PRIVATE ENSUITE - King

PRIVATE ENSUITE - Twin

PRIVATE STANDARD - Queen

PRIVATE STANDARD - Twin

PRIVATE CABIN - Twin

SHARED ENSUITE - Twin

SHARED STANDARD - Twin

SHARED CABIN - Twin

CAMPING

RV

3 People in your group

4 Additional Info

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