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Visit our Centre
Visitor / Personal Retreat – Application
About you
Name
*
First
Last
Email
*
Mobile phone number
*
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
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Algeria
American Samoa
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Anguilla
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Korea, Republic of
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Namibia
Nauru
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New Caledonia
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Niger
Nigeria
Niue
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Palestine, State of
Panama
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Slovakia
Slovenia
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South Sudan
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Sudan
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Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Turks and Caicos Islands
Tuvalu
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Virgin Islands, U.S.
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Åland Islands
Date of birth
*
DD dash MM dash YYYY
Dietary requirements (if any)
Emergency contact (name & phone number)
*
Spiritual practice history
*
Are you new to meditation? If not, please give a short summary of your spiritual practice and dharma training. Include information on any meditation disciplines you have been involved in. Have you ever been to a Shambhala Centre or other Buddhist centre before?
About your stay
How long would you like to stay?
*
Please enter your preferred dates of arrival and departure.
If your visit request is accepted, what time will you arrive?
*
Please be specific (you will need to notify us if this changes).
What is your accommodation preference?
*
Please note that we cannot guarantee that it will always be possible to provide your first preference.
Own tent - €25 per night (Summer season)
Dormitory/DCL tent - €31 per night
Two person room - €45 per night
Single room - €55 per night
Full bedding
For all lodging options (two-person tent, dormitory or bedroom), we provide simple bedding composed of a fitted sheet, light blanket, pillow and pillowcase. If required, full bedding is available and includes a duvet, duvet cover and bath-towel.
Provide full bedding (+10 euro)
Do you require full bedding and a towel? - €12.50
Which languages can you speak fluently?
*
French
Spanish
Dutch
English
German
Health Insurance
*
I accept that I have to take care of my own health insurance during my stay at Dechen Chöling.
Travel Arrangement
*
I understand that I am responsible for my own travel arrangements and expenses to and from Dechen Chöling
Other information
Psychological and medical history
*
Do you have any psychological or medical issues that we should be aware of? Do you take any medications for psychological or physical conditions? Please explain.
Motivation
*
Tell us a bit about your motivation for coming to Dechen Chöling. What interests you and how would you like to spend your time here?
Phone
This field is for validation purposes and should be left unchanged.