Thailand Adventure Application
Date of Application *
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First Name *
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Last Name *
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Address *
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Phone Number *
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Email *
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Birthday *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Emergency Contact Email *
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How did you learn about the Blue Lotus Thailand Adventure program? *
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What is it that caught your interest about this particular trip? *
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Do you have a background in massage or bodywork? *If so, please describe. Please include modalities practiced and training you have had. *
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You will be introduced to the Buddhist meditation practices of Thailand (Theravada). Do you have any background in meditation? If so, describe below. (style and training) *
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Have you been to Thailand or Southeast Asia before? If yes, please describe. *
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We will be a group of people, sharing, working together, living together, and learning about ourselves and the healing traditions and culture of Thailand. What do you hope to give and receive through this experience? *
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In the movie The Darjeeling Limited, three brothers go to India on a “spiritual journey.” They go to temples, go through the motions of making offerings, etc. While stopping briefly in a small country town, a local boy drowns despite their efforts to save him. They become caught up in the town’s grief and end up leaving the town changed individuals, truly connected in some fundamental way with the people in the small town. As they are leaving the town on the local bus after the funeral, a man asks them, “What are you doing in this place?” One of the brothers, face covered by bandages, says dejectedly, “Well, originally we came here on a spiritual journey, but that didn’t really pan out.” We are doing our best to create the most amazing experience possible for you. However, you will come away without things that you expected and you will come away with many things you didn’t expect. It is essential that you come with an open mind, plenty of patience, and the understanding that you may not get everything you want. The hotel might not be perfect, the bus driver might be late, and the Starbucks might obstruct your view of the temple. We will be as flexible as possible and try to help you as much as possible. We will do the best we can. We ask that you do the same. We ask that you understand that the point of this trip is to delve deep into the healing traditions and culture of northern Thailand. If you come away with an appreciation of these traditions as well as the Thai people and culture, then you will have received a wonderful blessing, something that few in the world have an opportunity to experience. * *
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Would you prefer to share a room, or do you require your own room? *note that single rooms will cost and additional $200 for the stay *
Please note that full payment is due 30 days before departure. *A $1000 deposit will secure your place until full payment is received. *
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