Retreat Application Form

Before you fill in this form to make a reservation, please think carefully and make sure that you are able to participate the retreat. The monks and volunteers are happy to support your meditation, and they work very hard to prepare the whole monastery including shopping & preparing food, cleaning accommodation, pumping the water etc to faciliate all retreat people, so that everyone will feel comfortable.

 

 

Due to our limited accommodation and few helpers, we can take only a limited number of people in each retreat. Since the teaching activities and the retreat depend entirely on donation. We never ask people to deposit their money when they do booking. Your booking is significant to us and other people because it will determine whether other retreat applicants can join the retreat or not. Please plan wisely. Thank you for your kind consideration.

 

Please fill your detail in this form to make a reservation.

 

Personal Details

  • Female
  • Male
From
To      

Meditation Practices

  • Yes
  • No
  • Yes
  • No

Emergency Details

In case of emergency, please contact:

Health Details

In order for us to best serve each participant on the retreat, please answer the following questions. All answers will be kept strictly confidential.

  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No

If you answered "Yes" to any of the questions above, give details of all occurrences.
Include the following: dates, frequency, type, amount etc below

If you have any questions that you wish to discuss prior to participating in the retreat,
please do so before committing yourself to the program.

I acknowledge that I have read and understood the notes about the retreat and the rules set down and I agree to abide by them. I realise that a Meditation Retreat is a serous undertaking that will require my full mental and physical health and I certify that I am fit to undertake it.

I certify that all information above to be true and correct.