GITA NAGARI ATTENDEES
Name:*  
Email:*  
Phone:
Names of devotees in your family/group:
No. of adults in your family/group:
No. of children in your family/group:
Arrival Date:    Arrival Time:   
Need Lunch on Friday:
Departure Date:    Departure Time:   
Need take out Prasadam:
Accomodation preference*:
*We will contact you to discuss your accomodation assignment.
Any one in your family/group requires a special diet during the retreat:
Would you like to sponsor Gita Nagari cow milk for the retreat:
Allergy information/Comments:
The registration fee* (cash, credit card, checks accepted at the retreat) for the retreat is:
$75 per adult for entire retreat (above 12 years of age)
$25 per child for entire retreat (between the ages of 5-12 years)
Free under 5 year
* While the purpose of the registration fee is to ensure that the costs incurred to conduct the retreat are covered; if your financial situation does not permit you to pay this fee, please do inform us (gitanagariretreats@gmail.com) and we can waive your registration fee.
If you would like to pay your registration fee prior to the retreat, please include that request in your comments above.