Common Ground Retreat at Prairie Farm Work Retreat Registration
This registration form is for those attending a work retreat organized by a Prairie Farm group leader. Prior to registering, please read the Practice Guidelines and review the additional information found on the Retreats at Prairie Farm webpage: http://goo.gl/E5KMr7.

Submitting a registration should be considered a firm commitment. Space is limited and scheduling can become complex. Last-minute cancellations might prevent others from staying at the property.

Use of the retreat property is offered on a donation basis. Given the circumstances in your life, please offer what you can to support the continuation of the retreat property.

Questions? Please contact prairiefarm@commongroundmeditation.org
Contact Information
Name *
Email Address *
The registrar may need to share your email address with other retreatants.
Phone number *
Street Address, City, State, Zip *
Arrival and Departure Dates
Please indicate how many nights you would like to stay, first and second choices for arrival and departure dates, and estimated times of arrival and departure.
Number of nights you would like to stay *
First choice of arrival date *
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First choice of departure date *
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Second choice of arrival date (optional)
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Second choice of departure date (optional)
MM
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DD
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Estimated time of arrival
Time
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Estimated time of departure
Time
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Have you ever stayed at the retreat property before? *
If yes, please indicate the approximate date and duration of stays.
Please indicate number of days or weeks as well as month and year of each stay.
Please indicate your town or neighborhood:
Practice Guidelines
Have you read and are you comfortable following the Practice Guidelines for the Retreat Property? *
There is a link to the Practice Guidelines in the introduction to this form.
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