Application to stay with Dhammadharini Bhikkhuni Sangha
This form is for overnight visitors and those who are coming to the monastery or hermitage.
Please fill in all fields and return to us, or request a paper form.
Dhammadharini Monastery, 6791 Sturtevant Dr, Penngrove, California 94951 USA
dhammadharini.monastery@gmail.com
Your name *
Your home address *
Include street address, city, state, postal code, country
Your email *
Your phone
Your web page or social media page if you would like to share it
Your gender *
Your date of birth *
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What are the best ways to contact you? *
Check all that are good.
Required
Location for your visit
The Dhammadharini Monastery is located at the rural edge of the San Francisco Bay Area. Dhammadharini's forest hermitage, Aranya Bodhi, is a 90 minute drive from the monastery, in coastal redwood forest.
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Have you stayed in a monastery before? *
Please provide details.
What meditation practice are you familiar with? *
Please provide details.
What are your intentions for this visit? *
Such as meditation, study, supporting the Bhikkhuni Sangha
What type of service work is suitable for you? *
Please check all that you can comfortably do.
Required
Are you interested in staying longer than two weeks? *
Are you interested in ordination? *
Lay visitors, do you agree to abide by the 8 renunciate precepts, during your visit? *
Monastic visitors, what is your highest ordination?
Type of ordination, date, place, and preceptor
Bhikkhuni and samaneri visitors, do you agree to abide by the Vinaya as it is understood and practised by our Dhammadharini Sangha during your visit? *
Personal Reference
If you are interested in ordination or a long term visit of more than two weeks, please give contact information for two persons, preferably teachers or mentors, who know you well.
Health Information: *

Please list any medical conditions that are important for us to be aware of.
Do you have insurance or financial means to provide for any needed medical care during your visit? *
Visitors should be able to look after their own medical needs, including obtaining medicine and special foods, transportation for medical appointments, and the financial ability to pay for medical care.
Emergency Contact Details *
Please give the name of a person to contact in case of emergency, their relationship to you, and their contact information
When do you expect to arrive?
(If you do not yet know your itinerary, leave blank)
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When do you expect to depart?
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How will you be traveling?
We'll send driving directions or suggested bus itinerary.
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By agreeing, I acknowledge and agree to the following: *
Dhammadhrini Monastery and the Aranya Bodhi Hermitage, a project of Dhammadharini, are places for meditation and contemplative retreat. Our visitors, volunteers and monastic members participate in voluntary activities designed to enrich the retreat experience. These services and voluntary activities may include, without limitation, the provision of food, lodging and transportation, as well as activities often associated with camping and the outdoors. They may also participate in cooking, construction and maintenance of buildings and grounds, including the use of cleaning products, lifting, climbing, digging, and other strenuous physical activities. They may engage in silent, intensive meditation, and may experience intense and unusual psychological, spiritual, and/or physical states arising from meditation. While Dhammadharini will endeavor to assure the safety of its members, visitors and volunteers, there are unavoidable risks of injury – and even death – associated with a wilderness hermitage, such as Aranya Bodhi, and its related services and activities. Consequently, a properly executed Release of Liability is required before anyone may visit Aranya Bodhi Hermitage for an overnight visit or a one-day work-service visit. As they may be engaged in work activities with power tools, ladders, cleaning products and other potentially dangerous objects and activities, a release of liability is also required for Dhammadharini Monastery. Such a Release of Liability is set forth below. You are encouraged to consult an attorney if you have any questions about the meaning of this document. If you have any questions about the services or activities provided at Aranya Bodhi, you should contact Dhammadharini at (707) 583-9522, dhammadharini@gmail.com. Agreement: By agreeing, I acknowledge and agree to the following: 1. I have read and understand the risks summarized above and acknowledge that the activities in which I may engage can be dangerous and can involve risk of serious injury or death. I also acknowledge that not all potential risks associated with Dhammadharini activities or services are listed herein but are reasonably foreseeable; 2. I understand that my participation in Dhammadharini activities and receipt of Dhammadharini services is voluntary and I may decline to participate in any activity or service offered. I further understand that it is my obligation and responsibility to continually look out for any conditions or circumstances that may be unsafe. If at any time I feel anything to be unsafe, I will immediately notify a Dhammadharini official and, if necessary, immediately leave the area or stop participating in the event which I feel may be unsafe; 3. I understand that in order to participate in certain offsite Dhammadharini activities I may be transported in a licensed, insured vehicle of the Dhammadharini Support Foundation or in some instances a privately owned vehicle; 4. I understand that in the case of a medical need not requiring onsite emergency medical treatment I may be transported in a licensed, insured vehicle of the Dhammadharini Support Foundation or in some instances a privately owned vehicle; 5. In consideration of attending the Dhammadharini Monastery and/or Aranya Bodhi Hermitage as a, visitor, volunteer, or monastic member I expressly assume the risks of such attendance. Further, for myself and on behalf of my executors, administrators and heirs, I release and hold the Dhammadharini Support Foundation, including its trustees, officers, employees, agents and volunteers, as well as the owner of the property used by Aranya Bodhi Hermitage, harmless from any and all claims, suits or liability arising in any way from my attendance at the Dhammadharini Monastery and/or Aranya Bodhi Hermitage for injury to my person or property or my death caused by the negligence of these entities and/or individuals to the fullest extent allowed by law, it being the intention of the parties for this release to be as broad and inclusive as allowed by law; 6. In consideration of my child’s or ward’s attendance at the Dhammadharini Monastery and/or Aranya Bodhi Hermitage as a visitor or volunteer, I, for myself and on behalf of my minor child or ward and his or her executors, administrators and heirs, give permission to my minor child or ward to participate in any of the activities offered at such hermitage, and release and hold the Dhammadharini Support Foundation, including its trustees, officers, employees, agents and volunteers, as well as the owner of the property used by Aranya Bodhi Hermitage, harmless from any and all claims, suits or liability arising in any way from the child’s or ward’s attendance at the Dhammadharini Monastery and/or Aranya Bodhi Hermitage for injury to my child or ward or his or her property or his or her death caused by the negligence of these entities and/or individuals to the fullest extent allowed by law, it being the intention of the parties for this release to be as broad and inclusive as allowed by law.
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