Wat Luang Phor Sodh Buddhist Meditation Institute

An Associated Institution of the World Buddhist University

 

5. International Meditation Retreat or Workshop Registration

Two-week retreats or workshops are offered 22 times throughout the year. They are open to all; no previous experience required. Participants must be free of communicable diseases and drug or alcohol dependency, and able to go without smoking while at the temple. See brochure or website for details. Please make advance application on-line or fax in this form. Intensive retreats are 1-14 May and 1-14 December. Smaller workshops start Jan 1,16, Feb 1,16, Mar 1,16, Apr 1,16, May 16, Jun 1,16, Jul 1,16, Aug 1,16, Sep 1,16, Oct 1,16, Nov 1,16, Dec 16. If possible, participants are urged to sign up for at least 2 weeks. It usually requires one week to develop the internal peace required for rapid progress. Please arrive at the wat during daylight hours (06:00-18:00). A minimum contribution of 1,000 Thai Baht (about US$25) per week is requested to cover expenses.

 

Applying for: days,  arriving Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ,  departing Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

1.1 Name: Personal   Family   Nickname

1. CONTACT INFORMATION

1.2 Address:     City State/Prov.     Postal Code   Country

1.3 Email:  1.   2.   Web

1.4 Phone:   Home   Mobile     Fax

1.5 Emergency Contact: Name    Tel

1.6 Thailand Contact: None or    Name    Tel

2. MEDITATION

2.1 How did you become interested in meditation?

2.2 What would you like to get from meditation?

2.3 How much experience do you have with meditation? What Kinds? None   A Little   Intermediate Advanced

2.4 Do you practice meditation at home now? NO     YES: Daily   Often   Sometimes

2.5 Have you attended any other meditation retreats? NO   YES: One  Several

2.6 Have you ever tried Dhammakaya Meditation before? NO  YES

2.7 How did you hear about us? Web Email Former Meditator Tour Org. Other:

2.8 What would you like to achieve in this workshop/retreat?

3. SPECIAL REQUESTS

3.1 Vegetarian Food Other:

4. BACKGROUND

4.1 Age: years.   4.2 Gender: Male Female

4.3 Marital Status: Single Living together Married Separated Divorced

4.4 Religion: None Buddhist Christian Other:

4.5 Education: Elementary Secondary College student BA/BS MA/MS+

4.6 Occupation: Student Other:

4.7 Languages: Native:    Other: 1.  2.

English: None A Little Fair Good Fluent

Thai: None A Little Fair Good Fluent

4.8 Thailand: Is this your first visit to Thailand? Yes No Live in Thailand

Thank You Very Much !!!