registration form

An Esoteric Quest for the Mountain of Truth:

 Monte Verità and the Birth of the Counterculture (1901-1920)

Registration Form

*Please fill out a separate registration form for each participant.

Name
Address

Emergency Contact Information:

Name

Roommate Selection:

for participants booking shared accommodations during the Main, Pre or Post- Conferences

(please choose one):

Roommate Selection

*In the event an appropriate roommate is not available, please be prepared for us to transfer you to single accommodations.

Sleeping Arrangement

For participants requesting a roommate, please tell us your:

Smoker?
Do you snore?
If not, willing to share with a smoker?
Are you willing to room with someone who snores?

Accommodations:

(please check all that apply)

Pre-Conference Accommodations:
Main Conference Accommodations:
Post Conference Accommodations:

Refund Policy:

A full refund, less a $350 processing fee, will be offered for cancellations made before May 15, 2025.  

Please check:
Please check:
Meal options (We'll do our best to accommodate your wishes):
How did you first hear about this conference?

Conference Welcome Packet:

A welcome packet that includes paperwork for you to return will be emailed to you.

Clear Signature

Please continue on to our shop to select your Conference Packages and then proceed to the checkout.  Your Registration will not be complete until you’ve completed this last step in the Registration Process.