Katog Rit'hrod Overnight Application
Katog Rit'hrod offers overnight lodging and longer term retreat space for Khentrul Rinpoche's students and those with a strong connection to him. Those who plan longer stays will first be asked to contact Rinpoche for permission and guidance during their stay.

If you plan a day trip to Katog Rit'hrod, there's no need to complete the lodging request form below. A call or email to KRContact@katogcholing.com before you come is nice, but not necessary.

Please complete the lodging request form below if:
- your a student of Khentrul Rinpoche or have a strong connection to him.
- you'd like to visit and stay overnight a day or two.
- you plan a longer stay for a work or practice retreat.

Once we receive your form, we will contact you to let you know about the status of your request.

If you have any questions, please contact us directly at KRContact@katogcholing.com.

First and Last Name *
ex. Jane Doe
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Email Address *
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Phone
ex. (860) 444-4444
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Arrival Date
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Departure Date
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Liability Waiver
VOLUNTARY PARTICIPATION

1. I acknowledge that my presence at the premises of Katog Choling Mountain Retreat Center, referred to below as “the Center,” located at Parthenon, AR, is voluntary.

ASSUMPTION OF RISK

2. I am aware that while at the Center, my activities may involve strenuous physical activities such as labor, volunteer construction work and/or meditation. Also there may be risks associated with being in a rural setting, including contact with poison ivy, insects, and wildlife. I am also aware that people may experience intense and unusual psychological, spiritual and/or physical states of mind and body arising from meditation and associated activities. I am voluntarily participating in any activities at the Center with full knowledge of the risks involved, and hereby agree to accept any and all risks of harm that may result from these activities and/or my presence at the Center.

3. If I am under psychiatric care, I have or will consult with my healthcare provider before attending this retreat.

4. I understand that if I bring a child with me to the Center, I have sole and complete responsibility for supervising and caring for the child, including keeping the child safe from any dangerous condition that may exist on the premises.

5. I understand and agree to the following restrictions:
- No weapons
- No drugs
- No illegal substances
- We are not able to accommodate pet or service animals, dogs included

6. I will not operate any machinery or power tools (e.g., lawn mowers, chainsaws, or any construction equipment) without proper know-how and understanding of all risks involved. I will not use such machinery if I do not have health insurance. If I do use such machinery while at the Center, I assume full responsibility for all risks involved and recognize that I alone am responsible for any harm to myself or others that results from my voluntary use of machinery or power tools.

WAIVER, AND INDEMNIFICATION

7. In consideration for being permitted by Katog Choling or one of its affiliates to be present at the Center and use its facilities now and on any future visits, I hereby assume all risks in connection with my being at the center for any harm, injury or damage that may befall me, any child accompanying me or my property, including all risks connected therewith, whether foreseen or unforeseen. I further waive any and all claims that I or a child accompanying me may have against the Center, past, present or future, known or unknown, in exchange for access to the Center and the ability to volunteer, that arise from my presence at the Center. I also agree to indemnify Katog Choling, its affiliates, employees, agents or volunteers from any claim, demand or lawsuit from any other person or entity arising out of my presence and/or activities at the Center, the presence and/or activities of any child accompanying me at the Center or during travel to or from the Center, including both claims arising before, during or after being present at the Center.

8. I am over the age of eighteen and legally competent to execute this Waiver. I understand that the terms herein are contractual and not a mere recital, that this document is legally binding, and that I have signed it of my own free will.

I HAVE FULLY READ AND INFORMED MYSELF OF THE CONTENTS OF THIS WAIVER AND RELEASE, AND ASSUMPTION OF RISK BY READING IT BEFORE I SIGNED IT ON BEHALF OF MYSELF, MY HEIRS AND THE HEIRS OF MY CHILDREN. I RECOGNIZE THAT CONSTRUCTION WORK IS INHERENTLY DANGEROUS, AND I WILL NOT UNDERTAKE ANY WORK I AM UNQUALIFIED FOR. I FURTHER REALIZE THAT I ALONE AM RESPONSIBLE FOR ANY DAMAGE I SUFFER WHILE PERFORMING ANY CONSTRUCTION WORK.

I agree that my electronic signature of this form carries the full force of my written signature.

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