International Chan Meditation Retreat Registration
Thank you for your interest to attend the Meditation Retreat.
The registration is already due on Sep. 30th.
(Saturday~Sunday, Oct. 6th-7th, 2012; fee: 1500NT$)

Please fill out your information below.
For more information, please contact: EnglishMeditation@gmail.com

Blog: http://taipeichan.blogspot.com


Sign in to Google to save your progress. Learn more
Full Name *
Gender: *
Required
Phone:
EX:0985-400500
ARC Number / ID *
Nationality: *
Birthday: *
EX: 1980/07/01 (YYYY/MM/DD)
Occupation: *
E-mail/FB: *
Food allergies or special medical condition?
Any previous meditation experience? *
example: yes, there is a guidebook that I try to follow, and I have been to a silent meditation retreat.
What motivates you to join the meditation retreat? *
Required
How did you hear about our class? *
Required
Beneficiary's Full Name *
Beneficiary 's Phone: *
Relation to Beneficiary *
Transportation Go: *
Transportation Back: *
Personal Requests or Comments:
Existing practitioners are required to answer the following three questions(護持同修請於下方欄位回覆以下問題): 1. Chan practice years禪修年資  2. meditation center所屬道場  
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.