Springwater Center Retreat Application
Please submit one application per retreat.
Fields marked with a red asterik require a response.
Please read the Info and Policies section of the Retreats page of the web site. If more information is needed please contact reception - firstname.lastname@example.org.
Select the retreat you would like to attend:
Select an answer
Sep 23-30 2017 (7-Day Retreat with Richard Witteman)
Oct 13-16 2017 (3-Day Retreat with Stew Glick)
Nov 11-18 2017 (7-Day Retreat with Sandra Gonzalez)
Dec 29 2017-Jan 2 2018 (4-Day Retreat with Wayne Coger)
Feb 17-24 2018 (7-Day Retreat with Wayne Coger and Susan Schepp)
March 10-17 2018 (7-Day Retreat with Les Schaffer)
April 27- May 1 2018 (4-Day retreat with Stew Glick)
May 12-19 2018 (7-Day Retreat with Wayne Coger and Sandra Gonzalez)
June 9-16 2018 (7-Day retreat with Stephan Bielfeldt)
Jun 30- July 7 2018 (7-Day retreat with Richard Witteman)
July 20-24 2018 (4-Day retreat with Les Schaffer)
August 11-18 2018 (7-Day Retreat with Bob Dattola)
September 1-8 2018 (7-Day retreat with Sandra Gonzalez and Susan Schepp)
September 22-29 2018 (7-Day retreat with Richard Witteman)
October 12-16 2018 (4-Day retreat with Stew Glick)
November 10-17 2018 (7-Day retreat with Sandra Gonzalez)
December 28 2018 - Jan 1 2019 (4-Day retreat with Wayne Coger)
How many days of retreat will you attend as a Non-Member?
Select an answer
1 Day Non-Member, Shared Room
1 Day Non Member, Private Room (Limited availability, check before applying)
2 Days Non-Member, Shared Room
2 Days Non-Member, Private Room (Limited availability, check before applying)
3 Days Non-Member, Shared Room
3 Days Non Member, Private Room (Limited availability, check before applying)
4 Days Non-Member, Shared Room
4 Days Non-Member, Private Room (Limited availability, check before applying)
5 Days Non-Member, Shared Room
5 Days Non Member, Private Room (Limited availability, check before applying)
6 Days Non-Member, Shared Room
6 Days Non-Member, Private Room (Limited availability, check before applying)
7 Days Non-Member, Shared Room
7 Days Non Member, Private Room (Limited availability, check before applying)
Select an answer
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Phone: please provide cell phone number if you have one. If you have no cell phone, please provide a phone number where we can reach you.
ARRIVAL AND DEPARTURE
Please make travel arrangements, whenever possible, to arrive at the Center by 2 P.M. on the day of retreat.
Rides are available only from 8 a.m. to 8 p.m. If you are scheduled to arrive after 8 p.m., or if your arrival is delayed past 8 p.m. please arrange other accommodation for the night. Rides are not always available once retreat has begun, and are not available on Mondays following retreat. Please contact reception to check for ride availability before applying for retreat.
If requesting a ride, it is helpful to provide your cell phone number in the space above. You may receive a message from the Center person who will pick you up. Call the Center if your arrival is delayed. Be sure your phone is turned on after your arrival in case we need to contact you about a change of ride arrangements.
Do you need a ride to or from Rochester airport, train, or bus station? (A donation of $40 each way for this service is suggested, which covers only part of the cost of providing it.)
Select an answer
No ride needed
One way ride
Round trip ride
- New participants please plan to arrive by 2:00 p.m.
- All otheres please plan to arrive no later than 5 p.m.
How will you arrive? (Include flight number if by plane; train number if by train)
How will you depart (Include flight number if by plane; train number if by train)
CANCELLATIONS AND REFUNDS
Please let us know as soon as possible if you need to cancel. If a retreat is full and we cannot accept your application, we'll refund the entire fee. If you cancel more than 48 hours before retreat begins, there will be a cancellation fee of $50. If you cancel within 48 hours of the start of retreat, we reserve the right to retain the entire retreat payment.
MEALS, WORK ASSIGNMENT AND PRACTICAL DETAILS
We serve a vegan menu with egg and dairy options. If you have special dietary needs, please bring your own supplies. A refrigerator is available to store participants' personal food. Please do not use matches, candles or incense. Smoking is allowed only in the parking lot area. Please do not use scented sprays or toiletries.
Please let us know about any disabilities, health restrictions, or allergies, including food allergies and food sensitivities that you may have that we should know about for assigning your retreat job or room.
In order for us to find the best match for your retreat job, in the space below please indicate three job choices in order of preference and/or experience. Many factors affect job assignments and we can't guarantee to meet your request, but we'll do our best. Retreat jobs usually available are:
- Food preparation
- Vegetable chopping
- Kitchen cleanup
- Bathroom cleaning
- Weeding and pruning
- Trail maintenance
Participants are housed 2-4 to a room.
Single rooms are an additional $210 for a 7-Day Retreat (prorated at $30/day for shorter retreats).
Please contact us - email@example.com - after you submit your application to reserve the single room option.
If you answer yes to either of the questions below, please consider reserving a single room.
Have you ever been told you snore loudly?
Are you sensitive to other's snoring?
Have you attended a retreat at the Center previously?
If no, how did you learn about us?
Please consider donating to the Retreat Assistance Fund, which helps people in need to attend retreat. Indicate the amount of your donation here:
I would like to receive news updates of future retreats.
Add me to the News Update list
Please use this space for any other comments.
We'll receive your application as soon as you choose a method of payment and click the "Proceed to Payment" button.
Paying by check will help support the Center by avoiding credit card fees. Send your check in the mail to Springwater Center, Financial Office, 7179 Mill St. Ext., Springwater, NY 14560
If paying online, fill in the credit card information on the credit card page that appears.
Your application will be accepted if there is space in the retreat and once payment has been received.
I will pay by check sent in the mail
I will pay online
I will apply for retreat assistance
Do Not Fill This Out