原始點療法報名表
日 期:2016年8月4日至8月7日
報到時間:2016年8月4日4:00pm至5:00pm 7:00pm簡介、報告、說明會
報到地點:大佛殿一樓寺務處

地 點: 莊嚴寺 Chuang Yen Monastery 2020 Route 301, Carmel, NY 10512
Tel:845-225-1819 Fax:845-228-4283 E-mail:bauscym@aol.com

報 名:
1. 報名表請由本會網站(www.baus.org)下載,亦可至莊嚴寺索取,或以回郵方式索取。報名 時請在信封上註明『原始點療法』,以便迅速處理
2. 報名表請儘早寄回,以便安排住宿、交通、用齋等諸多事宜。
3. 若已報名無法前法參加,請務必在7月14日之前給予通知,把機會讓給後來的報名者。

錄取方式:因住宿有限,錄取方式以先報名者為優先。錄取者不另行通知。
郵寄或傳真報名完成後,請打電話至莊嚴寺確認報名表有正確送到。

報名截止日期:2016年6月30日

注意事項:
1.本講習全程用中文(普通話)★有英文翻譯 ★
2.參加本講習,請勿穿著短褲、牛仔褲、裙子。
3.學習手法操作時必需穿著有袖細柔衣物。請剪短指甲以利手法操作。
4.請自備盥洗用具、茶杯、睡袋(棉被)、枕頭、拖鞋,寬鬆或整齊便服、個人藥品、醫療保險卡。
並自備一條毛巾(任何大小都可),以利學習操作。
5.本講習場所位於山區,早晚溫差大,請帶簡便禦寒衣物或外套。
6.本講習場所屬山林道場,來訪善信眾多,請勿攜帶貴重物品。
7.在活動期間禁止拍照、錄音或錄影,敬請配合。
8.學員於推廣教學現場禁止任何與商業有關之行為,更不可有任何私下買賣之情事。
9.重症重病者必須由家人陪同。
10.請重症重病者務必詳述健康狀況。
我們的志工會在講座前與您聯絡。如未事先通知讓我們做好妥善安排,恕諒無法接受您來上課。

費 用:1 .講習、食宿費用為自由樂捐:支票抬頭請開"B.A.U.S.",並請註明原始點療法。
此款項將全部交給莊嚴寺,由莊嚴寺開收據給您。

交  通:1. 有車者請自理交通。
2. 能發心提供車位者,請您在報名表上註明,我們將會與您連絡,
3. 報到日(8月4日) 4: 31PM備有交通車由Cold Spring火車站至莊嚴寺,逾時不候。
4. 可自費搭乘一帆旅遊巴士公司交通車由法拉盛至莊嚴寺(請直撥718-888-1016報名登記)
5. 至莊嚴寺之路線圖,可於美國佛教會網站查詢(http://www.baus.org)。
6. 搭乘飛機者,請優先訂La Guardia(LGA)機場,若無機票,則亦可訂JFK機場。
備 註:
★ 本講習請以全程參加為主,敬請遵守並見諒之)
★ 本講習位於山林道場,故三餐飲食皆為無蛋素食。
★ 感謝莊嚴寺提供講習場地。
★ 我們非為營利而舉辦此次講習,只願所有人擁有正確的養生觀念、學習不吃藥的保健之法。遠離病苦,乃我
們之所願,敬請大眾隨份捐助善款,讓更多的人能得到利益。
★ 務必先看原始點療法網站http://www.cch-foundation.org/,了解此講習基本概念、手法、療效,講習期間將更易進入狀況。OPA Foundation ¸ www.optamerica.org
★ 紐約連絡電話:845-225-1819 718-640-2566
-------------------------------------------------------------------------------------------------------------------------

Origin Point Workshop Registration Form

Dates: August 4, 2016 to August 7, 2016
Check-in: August 4, 2016 4:00 pm to 5:00 pm.
Introduction: August 4, 2016 7:00pm
Check-in At: Office, First Floor of the Great Buddha Temple

Venue: Chuang Yen Monastery 2020 Route 301, Carmel, NY 10512
Tel: 845-225-1819 Fax: 845-228-4283 E-mail: bauscym@aol.com

To Register:
1. Please scroll down to register on-line.
2. Or please download the application form at www.baus.org, or obtaining a copy at the temple and
return the completed application by mail. Please mark "Origin Point Workshop" on the envelope
for easy processing.
3. Please return the registration form as soon as possible in order for us to arrange accommodations,
transportion, meals and other matters.
4. If you are unable to participate, please be sure to notify us before July 14 so we may give the
opportunity to someone else.

Admission Information:
Due to limited space, admission is on a first-come-first-serve basis. We will not notify you separtely.
If mail in or fax in your registration, please call to confirm that we have received your application in
good order.

Application Deadline: June 30, 2016

Pleaes Note:
1. Class is conducted in Chinese (Mandarin) with simultaneous English interpretation ★ ★
2. Participants please do not wear shorts, jeans, or skirts.
3. For the Technique Learning session, please be sure to cut your nails and wear soft garments with sleeves. 4. Please bring your own toiletries, cups, sleeping bags (blankets), pillows, slippers, comfortable and proper
attire, personal medications, and medical insurance cards.
Please also bring your own towel (any size will do), to use during the Technique Learning session.
5. We are located in the mountains, temperature dips at night, please bring a jacket or warm clothing.
6. We have many visitors, please do not bring valuables.
7. Please do not take photographs, audio and/or video recordings during class. Any commercial activities
(buying or selling) is prohibited.
8. Any commercial activities (buying or selling) is prohibited.
9. Participants with serious illnesses must be accompanied by family members.
10. Participants with serious illnesses please describe in detail your health conditions. Our volunteers will
be contacting you before the seminar. If you do not notify us for us to make the proper arrangements, we
will not be able to admit you to the seminar.

Fee: You are welcome to make donations for this workshop, as well as room and board.
Please make checks payable to open "B.A.U.S.", and indicate “Origin Point Workshop”.
Donation is made to the Temple, and the Temple will issue donation receipts to you.


Transportation:
1 Provide your own transportation.
2. If you are willing to share a ride, please indicate on the registration form, we will contact you.
3. We will provide a bus on August 4, 2016 to leave at 4: 30PM from the Cold Spring Train Station to the
Temple. Please be punctual as the bus will not wait.
4.You may take the Yifan Bus at your own expense. The bus leaves from Flushing, NY to the Temple.
(Please call 718-888-1016 to book)
5. For direction, please go to our website http://www.baus.org .
6. For those who need to fly, La Guardia (LGA) airport is the closest to the Temple. JFK is a little further.

Remarks:
★ Participants must attend the seminar in its entirety.
★ The workshop is held in the Temple, therefore meals are all vegetarian without eggs.
★ We hereby thank the Chuang Yen Monastery for providing this venue for the workshops.
★ As a non-profit organization, we hope this workshop will provide everyone with the right concept of
health, of maintaining one’s well-being without resorting to medication,. Avoiding the agony of
illnesses is what we strive for. If you can, please donate to our cause so many others can benefit as well.
★ Please visit the Origin Point website http://www.cch-foundation.org , and the OPA Foundation website
www.optamerica.org , familiarize yourself with the basic concepts, methodology, and the results. It
will help to make your learning experience at the workshop a lot easier.
★ Contact us by phone: Tel: 845-225-1819 and 718-640-2566

English Name
Your answer
中文姓名
Your answer
Address 地址 *
Your answer
Phone Number 聯絡電話 (Home家) (Cellular 手機) *
Your answer
Email address 電子信箱地址
Your answer
Age年齡 *
Your answer
Highest Education學歷
Your answer
Gender 性別 *
Required
Occupation 職業
Your answer
住宿 accommodation *
Required
曾學習過其它不同的健康功法? Have you learned any health therapy?
Your answer
目前健康狀況 Your current health condition: *
有病者請詳述病情
請重症重病者務必詳述健康狀況。我們的志工會在講座前與您聯絡。如未事先通知讓我們做好妥善安排,恕諒無法接受您來上課
Your answer
交 通 Transportation
我自理交通
並能提供_____ 個空位從_______莊嚴寺 I will drive to CYM, and offer transportation for ______ people from_________ to CYM.
Your answer
註記 Note
可自費搭乘一帆旅遊巴士公司交通車由法拉盛至莊嚴寺(請直撥718-888-1016報名登記)
緊急連絡人姓名 (中英文) Emergency Contact Person (English Name & Chinese Name) *
Your answer
緊急連絡人電話 Emergency Contact Person Phone Number *
(白天 Day ) (晚上 Night) (手機 Cellular)
Your answer
與緊急聯絡人的關係 (Relationship with Emergency Contact Person) *
Your answer
參加者聲明 Waiver of Liability
如參加講習期間,若有病痛,金錢或物質之損失,及任何意外事件因而受到傷害,概由參加者自行負責,美國佛教會或莊嚴寺不負法律及賠償責任。

It is fully understood that the BAUS and/or Chuang Yen Monastery cannot be responsible for illness or injury suffered during the retreat. I am fully responsible for the damage or loss of my personal
belongings.

參加者簽名 Signature *
Initial
Your answer
日 期 Date *
Your answer
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