【CTZCS】2027 Term A Registration Form【太谷精舍】菩提園親子禪修班

Parent's or legal guardian's first name
*

Parent's or legal guardian's last name
*

Parent's or legal guardian's Chinese name 中文姓名 (if any)

Parent's or legal guardian's Dharma Name 法名 (if any)

Relationship *

Cell Phone 行動電話 *

(For contact and emergency purpose 聯絡用)

For the Child under age 7, one of the parents or guardian have to attend the class. Do you agree?
*

Child's First name (Legal name) *

Child's Last name (Legal name) *

Child's Chinese name 中文姓名 (if any)

Child's Dharma Name 法名 (if any)

Child's age 年龄 *

(For identification purpose 身份辨識用)

Child's birth month 出生月份 *

Gender 性別 *

How do you hear about us?

By checking boxes below, you are agreeing to follow these guidelines.

請閱讀以下禪修班學員須知，並打勾表示同意會發⼼遵守規則。

*

already read it, and am willing to follow it.我已詳細閱讀上課規矩，並會發心遵守。

1. All students should maintain a healthy lifestyle with sound body and mind. To attend the class, we suggest wearing meditation suits and socks are required. If you visit the Zen Center other than the class, please wear comfortable and modest attire (long sleeves and long pants). Low-cut, shorts and mini-skirt are not suggested. 報名資格：⾝⼼健康，無不良嗜好。服裝儀容：上課一律著居士服、棉襪，勿蓬頭垢⾯。若有其餘因緣至精舍者，請著素雅服裝，勿穿著低胸、露背、迷你裙、短褲。

2. To maintain the purity of the monastery, all solicitation and business-related activities are prohibited. Non-vegetarian food or drinks which have ingredients including meats, eggs, onion, garlic, alcohol, or tobacco, please don’t bring it to the center. Please keep your valuables with you, or leave them at home. 為維護道場清淨，精舍內嚴禁各項推銷、買賣、仲介等活動。精舍學員之間亦不應有任何⾦融往來⾏為。請勿攜帶葷食、五辛、菸酒入精舍。貴重物品建議不要攜帶至精舍上課，或請自行隨身保管。

3. All Dharma events and classes are free of charge. We are supported by generous free will donations. Any donation is appreciated and will benefit you and others. 中台⼭所屬各分院及精舍以弘揚佛法、推廣禪修為宗旨，各項弘法活動皆不收取費⽤。歡迎隨喜發⼼布施供養，成就菩薩⾃利利他之功德。

4. If you want to make donation to Chung Tai Zen Center of Sunnyvale, please contact (408)7330750. If you have received any phone call, or message using the name of Chung Tai Zen Center of Sunnyvale, requesting you to make donations, please be aware and contact us immediately. For any further information about Common Scams and Crimes, please go to the website of FBI as follow. ( https://www.fbi.gov/how-we-can-help-you/safety-resources/scams-and-safety/common-scams-and-crimes) 若欲捐款、做功德，請直接和精舍聯絡(408)7330750 。若有假冒精舍名義，向您要求匯款，請提高警覺，向精舍求證。必要時應報警處理。相關反詐騙資訊，可參考FBI相關網站- Common Scams and Crimes( https://www.fbi.gov/how-we-can-help-you/safety-resources/scams-and-safety/common-scams-and-crimes)

already read it, and am willing to follow it.我已詳細閱讀上課規矩，並會發心遵守。

1. All students should maintain a healthy lifestyle with sound body and mind. To attend the class, we suggest wearing meditation suits and socks are required. If you visit the Zen Center other than the class, please wear comfortable and modest attire (long sleeves and long pants). Low-cut, shorts and mini-skirt are not suggested. 報名資格：⾝⼼健康，無不良嗜好。服裝儀容：上課一律著居士服、棉襪，勿蓬頭垢⾯。若有其餘因緣至精舍者，請著素雅服裝，勿穿著低胸、露背、迷你裙、短褲。

2. To maintain the purity of the monastery, all solicitation and business-related activities are prohibited. Non-vegetarian food or drinks which have ingredients including meats, eggs, onion, garlic, alcohol, or tobacco, please don’t bring it to the center. Please keep your valuables with you, or leave them at home. 為維護道場清淨，精舍內嚴禁各項推銷、買賣、仲介等活動。精舍學員之間亦不應有任何⾦融往來⾏為。請勿攜帶葷食、五辛、菸酒入精舍。貴重物品建議不要攜帶至精舍上課，或請自行隨身保管。

3. All Dharma events and classes are free of charge. We are supported by generous free will donations. Any donation is appreciated and will benefit you and others. 中台⼭所屬各分院及精舍以弘揚佛法、推廣禪修為宗旨，各項弘法活動皆不收取費⽤。歡迎隨喜發⼼布施供養，成就菩薩⾃利利他之功德。

4. If you want to make donation to Chung Tai Zen Center of Sunnyvale, please contact (408)7330750. If you have received any phone call, or message using the name of Chung Tai Zen Center of Sunnyvale, requesting you to make donations, please be aware and contact us immediately. For any further information about Common Scams and Crimes, please go to the website of FBI as follow. ( https://www.fbi.gov/how-we-can-help-you/safety-resources/scams-and-safety/common-scams-and-crimes) 若欲捐款、做功德，請直接和精舍聯絡(408)7330750 。若有假冒精舍名義，向您要求匯款，請提高警覺，向精舍求證。必要時應報警處理。相關反詐騙資訊，可參考FBI相關網站- Common Scams and Crimes( https://www.fbi.gov/how-we-can-help-you/safety-resources/scams-and-safety/common-scams-and-crimes)

I agree to follow the above guidelines and understand that any violation of them might result in the termination of my class participation privilege.

*

Agree

Disagree

Required

溫馨提醒 A friendly reminder

若參加實體活動：為保護您及大眾的健康, 建議大家可戴口罩；若有咳嗽或感冒症狀，請在家休息。Wearing masks is recommended but not mandatory. However, If you are experiencing symptoms indicative with COVID-19 or any airborne illnesses, we urge you to stay at home to prioritize your health and the safety of others.

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我同意。 I acknowledge it.

Personal Information We Collect

We collect your personal information for the class connection, any other activities and operations that are needed in our organization only. We will not, in any circumstances, share your personal information with other individuals or organizations without your permission.

Personal Information Agreement

- I agree that Chung Tai Chan Monastery, its branches and subsidiaries, and/or related organizations (hereinafter referred to as “the monastery), for religious and nonprofit purposes, and to the extent allowed by law, may collect, process, utilize, and transmit all
personal information provided on this form.

- I certify that the information provided on this form is true, accurate, and complete. Any misinformation,
false statements and/or omissions on my part may be grounds for disqualification. I understand that the

monastery reserves the right to accept or reject my registration.

*

Agree

Disagree (Zen Center cannot accept your registration online as we cannot use your personal information.)

Note 備註