Date of birth:
Dates you would like to visit: From
Check here if you have any children that would be joining you at OM.
If so, please tell us about them:
Check here if you have any pets you would like to bring with you to OM, and tell us about them.
Check here if you have any physical limitations or ailments which would prevent you from doing certain kinds of work.
Check here if you are willing to camp if an indoor space is not available.
What dietary restrictions do you practice?
Check here if you are on any medications.
Check here if you smoke tobacco.
What skills and interests are you bringing to our community?
Are you a self starter, or do you prefer to be given tasks to complete?
How did you become interested in community, and what brings you to OM specifically?
Check here if you have any debts. If you do have debts, how, if ever, do you plan to pay them?
Check here if you have any current legal issues.
Please list emergency contact information, phone number of relative or friend, in case of an emergency during your visit.