Test Retreat Form * Indicates required fields. Name Title —Please choose an option—MrMrsMissMsMx First Name* Last Name* Email* Phone Number* Address Street Address Street Address Line 2 City State Zip Code Country ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, Democratic Republic of theCongoCook IslandsColombiaComorosCabo VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzechiaGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited Kingdom of Great Britain and Northern IrelandGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlands, Kingdom of theNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenEswatiniSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTürkiyeTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited States of AmericaUzbekistanHoly SeeSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe Answering these questions will help us to serve you more quickly and efficiently: Are you an SRF Lesson Student or Kriyaban? SRF Lesson StudentSRF Kriyaban Please check all that apply: I'm familiar with Self-Realization Fellowship and/or Paramahansa YoganandaI have visited Lake Shrine Meditation GardensI have attended an SRF Temple service or group meditationI have previously done a silent meditation retreat Do you have any food allergies? YesNo The retreat and property have many stairs. Do have any challenges going up and down stairs? YesNo Is another person joining you on Retreat? YesNo If yes, please enter their name and relationship to you: (Note: All rooms at Lake Shrine Retreat are single room occupancy. Each retreatant must submit their own individual request form, with individual contact information.) Additional Comments: Requested Retreat Dates Personal Retreats are offered Thursday–Sunday. Check-in is on Thursday or Friday 2 PM – 4 PM and check-out is on Sunday by 1 PM. Conducted Weekend Retreats, longer stays, and late arrivals are not possible at this time. Reservations may be made up to six months in advance. Prior to 2024 SRF Convocation, the Retreat will be open July 11–14 and then will reopen after Convocation for July 25–28. For those dates, priority will be given to first time retreatants from overseas. The Retreat will be closed the week of Convocation and December 26–29 for the Christmas holiday. Choice 1: Check-In: Check-Out: Choice 2: Check-In: Check-Out: Choice 3: Check-In: Check-Out: Δ