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 *

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: $45/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.

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