Application Form of 3, 7, 10-Day Retreats with Ven. Chi Chern
You are registering for 3, 7, 10-Day Retreat led by Ven. Chi Chern.
Please filled out the application form correctly.

     10-day Retreat: 9/7 (Friday), 2 p.m. - 9/16 (Sunday), 12 p.m. (check-in: 12 - 2 p.m.)
     1st 3-day retreat: 9/7 (Friday), 2 p.m. - 9/9 (Sunday), 5:30 p.m. (check-in: 12 - 2 p.m.)
     2nd 3-day retreat: 9/14 (Friday), 2 p.m. - 9/16 (Sunday), 12 p.m. (check-in: 12 - 2 p.m.)
     7-day retreat: 9/7 (Friday), 2 p.m. - 9/14 (Friday), 12 p.m. (check-in: 12 - 2 p.m.)

Your participation helps us grow a peaceful and joyful community!

Sincerely,
Lansing Buddhist Association
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Name
Retreat Options
Please note that all participants are required to start the retreat on 9/7 or 9/14. You are very welcome to arrive one day early.
Lodging
Please bring your own sleeping bag and/or air mattress/pad.
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Address
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Occupation
Gender
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Emergency Contact Name and Phone Number
E-mail
Ages
Fee (including meals & lodging)
pay at checkin
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Do you have a medical condition that needs attention?
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Have you studied meditation before?
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If yes to the question above, in what tradition?
How many years have you been practicing?
Note
By checking the following box, I agree to relieve Lansing Buddhist Association from all liabilities in the event of any injury or illness incurred while I am on the retreat center property.
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