Registration Form

Future Events will be added to this page as they are scheduled.

Please fill in the following registration form and await confirmation from us regarding your attendance.
If you do not hear from us within 10 days of registering,
please call Phone: (888) 589-LVEP
               (888) 589-5837

Bolded items are required fields. Thank you.

Future
LVEP Educators' Training Events

Event/Retreat/Course

  

About You:

   

Title * 

  

         

  First Name * 

  

Last Name * 

  

Email Address * 

  

Profession * 

  

If Teacher, please specify Grade Level

 

Organization * 

  
Street Address 1 *

Street Address 2

City*

State/Province *
Zip Code *

Country

Home Phone *

Mobile Phone

 
  Time of arrival at
Peace Village *
  Time of Departure from Peace Village*

Curriculum to which you want to be assigned:

Kindly Select One:

  

Ages 3-7
Ages 8-14
Young Adult
Parents/Caregiver

 

Specific Requests:

Any Special Accomodations

  

Any other special requests e.g. diet

 

Do you have any known health conditions

  

How did you hear about us?

  

Is there another guest you would like to share a room with Name of Guest

  

Have you visited Peace Village Before?

Visit Peace Village website:

 


Directions to Peace Village are available at:
http://www.peace-village.org/Directions.html

Emergency Contact Info:

    

Name

  

Relationship

  

Phone

  

Suggested Items to bring

 

  

 

Personal toiletries, 
Alarm clock, 
Umbrella or raincoat, 
Towels, 
Flashlight, 
Regular medications, 
Walking shoes, 
Sweater or jacket/ coat 

  

Weather can at times be much colder on the mountain than at sea level.
 ... and more important than all the above mentioned suggestions, do remember to bring your high spirit, talent, and cultural/inspirational item(s), i.e. special instruments, songs, art work, poem, and more . There will be a chance to share.

 

Please print this information for your reference before Registering