Young Adults Retreat 2026 Registration Form
Thank you for your interest in the Young Adults Retreat!  YAR 2026 will be held at the Buddhist Study Center on Sunday, September 6 & Monday, September 7 (Labor Day weekend).  Any participants ages 18 (or 17 with parental permission) to 32ish with an interest in Jodo Shinshu Buddhism are welcome to attend the retreat.  Lodging and activities will be held across the Honolulu/Oahu areas.  Transportation to/from the Buddhist Study Center (Honolulu and Oahu participants) or to the Honolulu International Airport (neighbor island participants) will be your own responsibility.

Please fill out the following form for EACH participant and submit an online (leave your name & "YAR registration" in the notes) or check payment for the $40.00 regular registration fee by August 1.  Make checks payable to Honpa Hongwanji Mission of Hawaii, with a memo for the name of the participant.  Please mail checks to:
Buddhist Study Center
c/o Emi Hashi
1436 University Ave
Honolulu, HI 96822

Contact ehashi@honpahi.org for other payment methods (e.g., cash on Day 1 of the retreat). Forms and registration fee must be received by August 1, 2026.  If you are applying after August 1, please contact ehashi@honpahi.org for the late registration fee before submitting your form.
Sign in to Google to save your progress. Learn more
Email *
Participant's First Name (or preferred name) *
Participant's Last Name *
Participant's Nickname (optional)
Participant's Pronouns (e.g., she/her, he/him, they/them; optional)
Participant's Age (as of August 2026) *
Temple Affiliation (which Hongwanji temple do you attend?  If not applicable, put n/a.  Pacific Buddhist Academy alumni and Buddhist Study Center Fellowship Club members, write PBA/BSCFC)? *
Participant's T-shirt Size *
Participant Allergy List (Please list any allergies we should be aware of.  Please also pack any medical supplies such as epi pens or inhalers if needed.)
Participant's Dietary Restrictions (please specify if there are any foods that you cannot eat)
Contact Info
Participant's Phone Number (in case we need to get ahold of you before or during the retreat)
Participant email address *
Mailing Address *
Emergency Contact Name & Relation to Participant (e.g., Emi Hashi, mother) *
Emergency Contact Phone Number *
Secondary Emergency Contact Name & Relation to Participant *
Secondary Emergency Contact Phone Number *
Participant's Physician Name & Contact Number *
Participant's Medical Insurance Company *
Participant's Medical Insurance Number

In the unlikely event of an emergency, we will attempt to contact the emergency contacts listed above, and/or the your physician. If no one can be reached, you agree to allow the Honpa Hongwanji Mission of Hawaii to seek medical care if necessary. The costs of medical treatment will be the responsibility of the participant.
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Honpa Hongwanji Mission of HI.

Does this form look suspicious? Report