Registration Form
Seventh Annual All-Alaska
Silent Residential Retreat
March
10 through 18, 2012
Pre-registration
is required for this events.
Please e-mail Registration Form to katogkarmaling@gmail.com
[PLEASE
WRITE MARCH 2012 RETREAT REGISTRATION IN THE SUBJECT LINE]
Name:
_____________________________________
Address:
____________________________________
Phone: ____________________(Alternate contact):__________________________
e-mail
address_______________________________
In
case of emergency, whom may we contact?
___________________________________________________________________________________
Name
Relationship cell
phone (or other phone)
In
case of emergency, please bring along and be prepared to provide your medical
insurance information including: Medical insurance carrier; Plan Identification
#; Contact #
To view the Meier Lake Conference
Center facilities, go to www.meierlake.com
Through the generosity of
Meier Lake Retreat Center we are able to keep the same costs as last year:
Sliding
scale: $390 - $490
Please
consider donating additional money and/or air travel mileage to people who wish
to attend but experience financial obstacles. All remaining money after the
retreat is donated to Katog Choling
Check here if you may be contacted
regarding air-mile donation_____
After
you e-mail your registration to Katog Karma Ling (see above), please send your
name and payment to:
Patricia Sandberg / Alaska Retreat
March 2011
P.O. Box 240028
Anchorage, Alaska 99524
Make checks payable to: Patricia
Sandberg
Please send check or money order only – a
receipt will be provided.
From outside the USA, please send a money order as checks
take 6-8 weeks to clear.
You may pay in installments if that is easiest for you.
More detailed information will be sent to you when you
register.
PLEASE CONTINUE TO
NEXT PAGEà
Transportation: How will you be
traveling? _____
Air* _____ Car**
*If traveling by air come to Anchorage International Airport or Ted
Stevens International Airport (ANC) (Please see Anchorage Transportation
Coordination, below)
**If
traveling by car (whether rental or your own vehicle), are you willing to
drive anyone else to/from the retreat?
If so, please provide details when you contact our coordinator (see
below).
Anchorage Transportation
Coordination: Do you need transportation from the airport
to the Meier Lake Conference Center? If
so, you must contact Max at:
o
(Please do not plan to arrive Saturday morning or the middle
of the night Friday night- we can move in to the conference center Friday
afternoon to be ready to start Saturday morning).
_______________________________________________________________________
Meals: We will be providing abundant and tasty vegetarian
fare. We request that you come equipped for
any special dietary needs, supplements, or special treats. [The meals are
planned to include a good amount of protein and abundant quantity]
Use this space
to let us know if you have any severe food allergies or sensitivities?
_____________________________________________________________
Housing: As you can see
from the Meier Lake website, the housing is in small well-heated cabins with a
central bathhouse very close by. Some attendees feel the need to have a
restroom within the same building as their room. PLEASE NOTE: There are only a limited number of beds (4) within the
main facility (and they tend to have more environmental noise during the night).
If this is a critical factor for you, please consider this limitation before
registering.
___________________________________________________
Other health issues we
should know about:
If you have any chronic
or serious physical or mental health issues or you require medication or other
treatment that might become an emergency situation we should know about, please
describe this for us below. There are no medical facilities near the conference
center. The nearest hospital is 15 miles away. Information will be kept with
the retreat coordinators for emergency situations only and destroyed after the
retreat.