Experiential Vajrayogini Retreat

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1 Welcome

3 People in your group

Guest 1		First Name* Last Name* Email* Special Diet* All meals served at Vajrapani Institute are vegetarian. Dietary Restrictions* Write none if none. Please list any medical conditions (e.g., Celiac disease) that affect your diet. Please note that the kitchen cannot accommodate all dietary preferences. Please refer to the website's FAQ for information specific to this topic. Medical Issues* Enter "none" if you have no conditions or issues
Guest 1		First Name* Last Name* Email* Special Diet* All meals served at Vajrapani Institute are vegetarian. Dietary Restrictions* Write none if none. Please list any medical conditions (e.g., Celiac disease) that affect your diet. Please note that the kitchen cannot accommodate all dietary preferences. Please refer to the website's FAQ for information specific to this topic. Medical Issues* Enter "none" if you have no conditions or issues

4 Participant Info

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Address 2
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Email newsletter	I would like to receive Vajrapani Institute's email newsletter!
Special Diet *	All meals served at Vajrapani Institute are vegetarian.
Dietary Restrictions *	Write none if none. Please list any medical conditions (e.g., Celiac disease) that affect your diet. Please note that the kitchen cannot accommodate all dietary preferences. Please refer to the website's FAQ for information specific to this topic.
Medical Issues *	Enter "none" if you have no conditions or issues
Emergency Contact Info *	Please list name and phone number.
Terms and Conditions *	I accept the terms and conditions.Click here to read our terms and conditions
Are you an ordained monastic?	No Yes
Where were you ordained? Who were you ordained by? *

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