Quaker House Registration Request 2022  
TO REQUEST A ROOM DURING THE SUMMER SEASON, PLEASE FOLLOW THIS PROCESS:  FIRST, READ THE HOUSE POLICIES ON THE WEBSITE BEFORE FILLING OUT THIS FORM.
If you have questions, email Kathy Slattery at registrar@quakerschq.org After reading the house guidelines, fill out the form below. When done, click on the submit button. EACH person must fill out a registration form (with the exception of young children staying with you) even if you are sharing a room.
Prices are per room (not per person) for one week.
PLEASE NOTE:
• All guests staying at Quaker House must be fully vaccinated for COVID-19.
• All bedrooms are on the 2nd and 3rd floors; no elevators or lifts.
             Please check with the registrar to see what accommodations for special needs may be possible.
• Gate Passes (and Parking passes if needed) are  only available from Chautauqua Institution
             https://tickets.chq.org/Online/default.asp
• Chautauqua property owners are not eligible for in-season room rental.
                             RESERVATIONS ARE NOT CONFIRMED UNTIL PAYMENT IS RECEIVED

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Last Name *
First Name *
Street address *
City and state (or province) *
Zip code *
email address *
cell  phone number *
May we text you at the above number?  We will only use this for confirmation, day of arrival communication, etc. *
Required
Room mate's Last name (use NA if not applicable)
Room mates' First name (Use NA for not applicable)
Room mates' email address (Use NA for not applicable)
Room mate's cell phone number (Use NA for not applicable)
Children's names and ages as of summer 2022 (if applicable)
Emergency Contact Name (not staying at Quaker House) *
Relationship *
Location (city and state) *
Emergency phone number *
What is your home meeting, Quaker affiliated connection or your spiritual home? *
What are you looking for that prompted you to  choose Quaker House? *
Have you been to Chautauqua before? *
Required
ROOM and WEEK SELECTION: Please rank week preference in order, first, second and third choiceDuring the Summer Season, June 25 to August 28, Quaker House rooms are rented for one week only, from Saturday 4 pm till the following Saturday 10 am. NO MEALS ARE SERVED AT QUAKER HOUSE. Guests have use of the kitchen. including pantry shelf and  refrigerator shelf. Obtain gate and parking passes through the Institution.  Go to:  https://tickets.chq.org/Online/default.aspPlease see the Chautauqua Institution Website (chq.org) for information about the weekly themes, programs, performances, speakers and passes.
first choice
second choice
third choice
Wk 1 6/25-7/2 “America’s Role in World”
Wk 2 7/2-7/9 “The Wild : Reconnecting”
Wk 3 7/9-7/16 “Future of Human Rights”
Wk 4 7/16-7/23 “Future of History”
Wk 5 7/23-7/30 “Vote & Democracy”
Wk 6 7/30- 8/6 “After Dark: Nightime”
Wk 7 8/6-8/13 “More than Shelter: Home”
Wk 8 8/13-8/20 “New Profiles in Courage”
Wk 9 8/20-8/27 “American Tapestry: “
Clear selection
Preferred room assignment (please note: rooms are not guaranteed until  money and proof of vaccination are received). Go to  "Staying at Quaker house page on our website,  quakerschq.org to see photos of bedrooms. Each floor has a full shared bath. Sheets and towels included, but bring your own beach and or gym towels *
room 21 double bed no AC $330.00 per week
Room 22 two twin beds, AC $355.00 per week
Room 31 two twins AC $365.00 per week
Room 32 queen plus fold out floor mattress AC $365.00 per week $365.00 per week
first choice
second choice
Do you wish to be placed on a waiting list if your preferred room/week is not available?
Clear selection
Your typed full name below will act as a signature affirming that you have read and agree to abide by the House Guidelines and the  COVID guidelines in place at the time of your visit. *
Is there anything else you want to let us know about?
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