Meditation Retreat Registration Form

禪修報名表格

Please fill in your ID below and click search. Your details will be automatically filled into the form below.

For new participants, you may ignore the ID column at the below and fill in the form as the system does not have your information.

請添入您身份證號碼或是護照號碼然後按“Submit送出”按鈕，舊生已有資料，如有變更，請更正。

新生沒資料，請詳細填寫

Name/Dharma Name / 姓名或法名

Monk / Lay Person / 出家人 / 在家人

ID/Passport Number / 身份證或護照號碼

Date of Birth / 生日

Gender / 性別

Address / 住址

Please select the meditation retreat that you will be joining. / 請選擇你要參加的禪修營。

Brahmaviara Meditation / 四無量心

Vipassana / 四念処

Home Number / 住家電話號碼

Handphone Number / 手機電話號碼

WeChat or Line ID / 微信或LINE 賬號

Email Address / 電子郵箱地址

Confirm your email / 確認你的電子郵箱地址

Occupation / 職業

*Kindly ensure your email address is valid as we will communicate with you further via email.

請輸入正確的郵箱地址以便我們跟你聯係。

Brahmavihara Old / New Student / 四無量心：新生或舊生

Vipassana: New or Old Student / 四念処：新生/舊生

Language / 精通語言

Introducer name / 介紹人姓名

Relationship With Introducer / 以介紹人關係

Do you have any health issue? （Past) / 身體狀況 (過去）

Do you have any health issue? （Now) / 身體狀況 (現在）

Do you have any Mental illness ? (Now) / 心理狀況 (現在）

Have you practice meditation before? 有禪修經驗嗎？

If yes, what method have you been practicing? 如有，請問目前修習什麽法門？

Teacher / 導師

Emergency Contact Person Name / 緊急聯係人名字

Emergency Contact Person's Phone Number / 緊急聯係人電話號碼

Emergency Contact Person H/p No / 緊急聯係人手機號碼

Relationship with emergency contact person / 緊急聯係人關係