Seabeck Haiku Getaway 2016 Registration Form

The 2016 Seabeck haiku retreat will run from Thursday afternoon, October 27, to Sunday lunchtime, October 30, with optional Sunday-afternoon activities. See the 2016 retreat schedule. We’ve tried to keep the fee as bare-bones as possible (no raise in rates this year). It’s just $225 for three nights of accommodations, nine meals, and all retreat activities if you register by September 23, 2016 (or $259 after that postmark date). If you can’t come until Friday night, the rate is $185 (or $219 after September 23). For day visitors (pick your day or days, including lunch and dinner each day, but not breakfast), the fee is $60 per day (or $74 after September 23).


Accommodations are shared, sometimes with shared hallway bathrooms. Rooms are limited, so we encourage you to double-up if possible (we will pair you with a roommate unless you have your own roommate preference or request a private room). If you require a private room, fees are a minimum additional $40 per night if you stay for the entire conference (slightly higher per night if you stay for fewer nights). Please contact us about reduced rates for children (rates depend on age; free age two and under). We also have a spouse/partner rate (if your significant other would like to attend, but does not participate in the haiku activities—although they are welcome to attend and contribute to our evening talent show, and any events at which you are presenting or reading). We’ll be staying in the Historic Inn, the Inn Annex, Firs, Hemlock, and Madrona, with the Colman Center as our primary meeting room. In all, we trust that you will find our 2016 retreat to be even better than our previous ones, so please do sign up!


Registrations accepted from August 1, 2016 to October 21, 2016 (please do NOT register before August 1). Early registration discount ends September 23, postmark date (but please also email Angela Terry at amterry9@comcast.net to say your registration is coming, if you register close to or after September 23). Registration MAY be possible after October 21, especially for day visitors—please inquire.


Priority booking: We’ve booked about the same number of rooms this year. We don’t expect to fill up, but in case we do, priority will be given to a) people attending the entire retreat, b) the date we receive your payment, and c) if necessary, people willing to share a room. Please note that an increasing number of people are requesting private rooms, which reduces the total number of people we can accommodate, so please share if you can. Also note that this year we have very few rooms with private bathrooms.


Cancellation policy: Reservations cancelled by September 23, 2016 are entitled to a full refund, minus a $25 cancellation fee. After this date, partial refunds will be given at the registrars discretion, minus at least a $50 cancellation fee. You must email or phone us by September 23 to cancel your reservation. Note: It is possible that we may not be able to make any refunds after the cancellation date, but if we can, any refunds will be subject to at least a $50 cancellation fee.


Note: Your fee includes all the meals indicated. If you expect to miss any meals, such as Sunday lunch (if you might be leaving before lunch), please let us know so we can inform the kitchen. This will help reduce food waste.


To register, print out this page, fill it in, and then send it with your payment, payable to “Haiku Northwest,” to:


Angela Terry
18036 49th Place NE

Lake Forest Park, WA 98155-4314  USA


Name: ____________________________________________________________

Street: ____________________________________________________________

City, State, Zip: _____________________________________________________

Phone: ____________________________________________________________

Email: ____________________________________________________________


Meal preference:   __ Nonvegetarian   __ Vegetarian

Other special diet:   __ Vegan   __ No dairy   __ Gluten-free   __ No soy
Roommate preference (if any): _________________________________________
Include my email address in the retreat attendee list:   __ Yes   __ No

Choose one of the following four options:


q 1. Full Retreat (includes three nights and nine meals, Thursday to Sunday):

Your rate: __ $225 postmarked by Sept. 23     __ $259 after Sept. 23
Private room: __ $120 additional ($40 each night if you do not want to share a room)

Partner rate: __ $209 postmarked by Sept. 23    __ $243 after Sept. 23

(if partner is not participating in retreat activities but needs just accommodations and meals)


q 2. Weekend Only (includes two nights and six meals, starting with lunch, Friday to Sunday):

Your rate: __ $185 postmarked by Sept. 23     __ $219 after Sept. 23
Private room: __ $135 additional ($45 each night if you do not want to share a room)

Partner rate: __ $169 postmarked by Sept. 23     __ $203 after Sept. 23

(if partner is not participating in retreat activities but needs just accommodations and meals)


q 3. One Night (includes one night and three meals, starting with lunch):

Please specify night:   __ Thursday   __ Friday   __ Saturday

Your rate: __ $145 postmarked by Sept. 23     __ $179 after Sept. 23

Private room: __ $50 additional (if you do not want to share a room)
Partner rate: __ $129 postmarked by Sept. 23       __ $163 after Sept. 23

(if partner is not participating in retreat activities but needs just accommodations and meals)


q 4. Day Visitor (includes lunch and dinner; breakfast is not included; no accommodations):

Please specify day or days:   __ Thursday   __ Friday   __ Saturday   __ Sunday

Your rate, per day: __ $60 postmarked by Sept. 23     __ $74 after Sept. 23


Subtotal (from above choices): $___________

Here’s my donation to offset expenses (thanks!): $___________
TOTAL ENCLOSED: $___________

Please make checks payable to “Haiku Northwest” and mail your registration to the address above—thanks!

Payments from Canada: We can deposit Canadian cheques. Please check the current exchange rate and determine how much money in Canadian dollars you have to pay to equal the U.S. amount due. Rates may fluctuate between the time you write your cheque and when we deposit it, but we will sort out any overpayment or underpayment at the retreat itself—please remind us, if necessary.

See you at Seabeck!