Application for the Rains Retreat in New Hamlet 2019

Please only fill this application ONE TIME if:
- You have been to at least one retreat in a Plum Village center before and want to stay for the whole 3 months of the Rains Retreat.
- You are a female (if you are a male, please contact Upper Hamlet).

Allow us approximately 2 weeks to get back to you about the result of your application.

Email address *
Have you been in a retreat in a Plum Village center before? *
Required
Which retreat (s) in which center (s) *
Your answer
First Name *
Your answer
Last Name *
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
First Language *
Your answer
Second language *
Your answer
Your address *
Your answer
Phone number(s) *
Your answer
Your Profession/Occupation *
Your answer
More About You *
Do you have any physical limitations? If yes, please give details *
Your answer
Have you recently, or in the past, suffered from any mental problems or illness? If yes, please give details *
Your answer
What is your aspiration for practicing during this rain retreat? *
Your answer
If my application is successful, I will commit to respect the rules of life in Plum Village, particularly : *
You must
Required
I certify that my answers are true and complete to the best of my knowledge. I understand that Plum Village reserves the right to ask me to leave at any time if any concerns are raised about my conduct, such as causing disharmony in the community, or not following the community's guidance... *
Required
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