APPLICATION TO STAY OVERNIGHT
First Name *
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Last Name *
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If you are a monastic, please provide 1) your birth/layperson's name, 2) your ordination tradition, 3) your ordination date, 4) your level of ordination (anagarika, mae chee, thilashin, novice, bhikkhuni, etc.), and 5) the name of your preceptor and any guiding teachers.
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Date of Birth *
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Gender *
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Address *
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City *
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Postal code *
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Phone *
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Email *
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Confirm Email *
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Requested Arrival Date *
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Requested Departure Date *
If you are a first-time visitor, this must be no more than one week from your requested arrival.
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Name, phone number, and email of the person we should contact in case of an emergency *
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Please fully inform us of any physical and/or mental health conditions that you have or that you may have, how they affect you, and how they are managed (including medications). *
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Citizenship and Country of Residence *
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Have you stayed in a monastery or meditation center before? Please provide details of when and where. *
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Under what teachers have you studied and practiced? What meditation practices are you familiar with? *
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If there's anything else you'd like us to know about you or if you have any other comments or concerns, you can let us know here:
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I declare that I have completed all sections of this form completely and truthfully, and have read and understood the orientation notes. *
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