Home2015 New York Retreat 紐約短其閉關 4/10-12
Language 語言 —English 英語Chinese 中文
Gender 性別 —MaleFemale
First Name 名
Last Name 姓
Chinese Name 中文名, 請以中文填寫
Dharma Name (if applicable) 法名(若適用)
Photo 相片 Please submit a file not larger than 500 kBytes. Acceptable file types are: jpg, jpeg, png, tiff, bmp. If you have any problem uploading photo, please email photo with your name to info@xuanfa.net. 請上載個人照片一張,檔案不能大於 500 kBytes。若不能上載,請把照片連同姓名以電郵傳至 info@xuanfa.net
Date of Birth 出生日期
Telephone No. 電話
E-mail 電郵
Address
Are you a Master of Dharma Listening Session or a Rinpoche? —Master of Dharma Listening Session 聞法上師Rinpoche 仁波且
Religious affiliation, if not Buddhist (optional) 宗教信仰 (若非佛教徒)
If you have formally taken refuge in either the Three or Four Jewels 已皈依三寶或四寶
Refuge Master 皈依師
Date of Refuge 日期
Refuge Location 地點
Experience in meditation 禪修經驗 —Experienced 資深Beginner 初基No experience 全無經驗
Request to meet with Rinpoche individually 是否需要安排仁波且單獨接見 —Yes 是No 否
Request to take refuge 祈請皈依 —Yes 是No 否
Do you have any food allergies? If you have, which ones? 有沒有食物過敏?若有,請說明。
Emergency Contact 緊急聯絡人
Name 姓名
Total fees 費用: $400 Early Bird registration before 9/1/2015 9月1日前報名:$350
All fees include accommodations and meals. It does not include transportation. Participants are required to bring their own meditation cushions. Limited to 30 people. Registration accepted on a first come basis. Upon notification of availability, you will receive payment instructions. Please make payment within 2 days. After 2 days, the reserved space cannot be guaranteed. Payment for registration is non-refundable. 費用包括住宿、膳食。不包交通費。參加者自備禪修座墊。名額只限30人,報名先到先得。核實尚有名額後,本會將發電郵通知。收到繳費通知後,請於兩天內繳費。逾時未付費者,預留的位置將會被取替。
Fee Policy 收費政策: Registration fee is non-refundable and participation is non-replaceable. 若不能參加,費用不作退款。亦不可更換參加者取代。