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Overnight Registration Form
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Name of Event/Workshop
*
Number of Overnights
*
1
2
3
4
5
6
Gender (for room shares)
*
Male
Female
Non-Binary
Linens Requested?
*
YES
NO
Single room request (not guaranteed).
*
Yes
No
Will you be parking a car at Boughton Place?
*
YES
NO
Dates Requested
*
Suggested donation for a shared room: $35/night
Suggested donation for a single room: $50/night
Linens fee (optional): $5/stay
To secure a reservation for accommodations at Boughton Place, this request and payment must be received three weeks before the program (at which point requests for single rooms will be granted and shared spaces may become unavailable)
.
Please fill in the grid below and send a check addressed to:
Boughton Place, 150 Kisor Road, Highland, NY 12528. Alternatively, you can send credit card payment via PayPal to
boughtonplace@gmail.com
or via our PayPal button on our website:
www.boughtonplace.org
.
Please be very specific about your reservation in the memo on your check or Paypal payment: program name, dates (# of overnights), single room, etc.
Please feel free to inform us of any special requests or needs.
Submit
Home
About Us
Mission and Vision
Board
Events Calendar
Arts/Psychodrama
Gallery
Contact
LINKS
Overnight Payments
Overnight Registration Form