HomeScheduleSeven-day Zen Meditation Retreat, Bangkok, Thailand 泰國曼谷七天禪修報名– December 2-9, 2015
Language 語言 (required) —English 英語Chinese 中文
Gender 性別 (required) —Male 男Female 女
First and Last Name 名字和姓氏 (required)
Chinese Name 中文名, 請以中文填寫
Year of Birth 出生年份 (required)
Country Calling Code 國家區號 (required) Select country code 選擇國家區號Bhutan 不丹 (+975)Brazil 巴西 (+55)Cambodia 柬埔寨 (+855)China 中國 (+86)France 法國 (+33)Germany 德國 (+49)Hong Kong 香港 (+852)India 印度 (+91)Indonesia 印尼 (+62)Japan 日本 (+81)Korea, South 南韓 (+82)Malaysia 馬來西亞 (+60)Mexico 墨西哥 (+52)Philippines 菲律賓 (+63)Russia 蘇聯 (+7)Singapore 星加玻 (+65)Spain 西班牙 (+34)Sri Lanka 斯里蘭卡 (+94)Taiwan 台灣 (+886)Thailand 泰國 (+66)United Kingdom 英國 (+44)United States, Canada 美國,加拿大 (+1)Vietnam 越南 (+84)other 其他 (please enter manually 請輸入)
Telephone No. 電話 (required)
E-mail 電郵 (required)
Address 地址 (required)
Please submit a file not larger than 500 kBytes. Acceptable file types are: jpg, jpeg, png, tiff, bmp. 請上載個人照片一張,檔案不能大於 500 kBytes。
Religious Affiliation or Group 所屬宗教團體或道場 (if any 若適用); Optional for non-Buddhists 非佛教徒可選擇不填寫
Have you taken refuge in the Three Jewels or Four Jewels? 你是否已皈依三寶或四寶? (required) —Yes 是No 否
If yes, please give the year you took refuge
If yes, are you a Master of Dharma Listening Session or a Rinpoche? 你是否聞法上師或仁波且? —Master of Dharma Listening Session 聞法上師Rinpoche 仁波且
If yes, please give the name of your refuge master 皈依師
If yes, please provide your dharma name, if you have one 法名
If yes, do you have a refuge certificate/booklet that contains your daily practice? 你是否有皈依證用作每天修持? —YesNo
Refuge Location (City, Province, Country) 皈依地點 (城市,省份,國家)
If no, do you wish to take refuge with Venerable Zhaxi Zhuoma? 你是否希望皈依扎西卓瑪尊者? —Yes 是No 否
Do you wish to receive dharma from Venerable Zhaxi Zhuoma? 你是否希望向扎西卓瑪尊者求法? —Yes 是No 否
Do you wish to request an interview with Venerable Zhaxi Zhuoma for any other reason? 你是否有其他事希望求見扎西卓瑪尊者? —Yes 是No 否
If yes, what is the reason for the interview? 請略為說明求見尊者的緣起?
Experience in meditation 禪修經驗 —Experienced 資深Beginner 初基No experience 全無經驗
Do you have any food allergies? If you have, which ones? 有沒有食物過敏?若有,請說明。
Name 姓名 (required)
All fees include accommodations and meals. It does not include transportation. Participants are required to bring their own meditation cushions. 費用包括住宿及膳食。不包括交通費。參加者請自備座墊。
Please select check out time: 請選擇離開時間: 12/9 (Thu)After 6pm 星期四 晚上6點後12/10 (Fri) Before 10am 星期五 早上10點前
Limited to 33 people. Registration accepted on a first come basis. Payment for registration is non-refundable. 名額只限33人,報名先到先得。核實尚有名額後,本會將發電郵通知。
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。
You will be automatically redirected to Paypal after registration. To complete your registration you will need to pay the retreat fee using Paypal. 填妥以上表格後,按 "寄出"後,將會到達貝寶網頁,請以貝寶繳交費用,完成報名手續。