Application for Beginner's Mind 3-Day Meditation Retreat

Application for Beginner’s Mind 3-Day Retreat

Three-day meditation retreat Beginner's mind is accessible yet intensive practice. Participants are expected to follow four simple rules - to maintain silence, to be punctual, tidy and mindful. Daily program starts at 6 a.m. and ends at 10 p.m. In a fairly relaxed rhythm, the whole day is dedicated to the practice of meditation - in stillness and in movement. Rule of silence applies also to mobile phones and similar devices - we will ask you not to use them during retreat. It is important to follow daily schedule and not to alter it without discussing it with the teacher. If you know in advance that you will not be able to meet these conditions, please consider not to apply. Please answer all the questions in this application form, even if you already answered them on previous occasions. In "Notes to the Center" field write anything that you think we should know but did not ask. Information that you provide is considered confidential and will be used by teacher to better assist you during retreat.
Name*
First Last
Date of birth*
Date Format: MM slash DD slash YYYY
E-mail*
Occupation:*
Contact phone number*
Your photo:*
Are you a member of the Chan Center? If yes, what type of membership?*
What dates are you applying for?*
Are you applying for in-person retreat in Hartovski vrh or online?*
Have you attended Chan meditation introductory course? If yes, when?*
Have you attended our weekly meditation group? If yes, how regularly?*
How long have you been practicing meditation?*
Your method of meditation is:*
How regular is your practice? Daily, weekly, monthly, occasionally?*
How long is your sitting period?*
What meditation posture do you use?*
Have you already attended a Chan meditation retreat?*
Please list the last one, including the name of the teacher, location and date:*
Do you have other prolonged meditation experiences?*
Tell us why would you like to join this retreat?*
If you are joining online, do you have conditions for practice where you are undisturbed? *
Is there a question or a theme that you would like to be addressed by teacher on this retreat?*
Health information
The purpose of these questions is to ascertain possible effects of retreat on your health status.
Have you ever experienced serious leg or back problems? Is so, please state the nature of problem and current condition.*
Have you ever been treated for serious emotional problems? Is so, please state the nature of problem and current condition.*
Do you have low or high blood pressure? If so, how serious?*
Have you ever during meditation experienced symptoms of headache, dizziness, palpitation or shortness of breath? If so, what is your current condition?*
Do you have heart problems? If so, how serious?*
Did you ever undergo a major surgery? If so, how are you now?*
Do you suffer from any allergies?*
Have you ever had serious infectious disease?*
Are any of the above problems aggravated under stress?*
Just a few more details
Help us organize your stay, arrival and departure.
Do you want to eat dinner (medicine meal)?*
Do you offer a shared ride? If yes, how many free seats to you have?*
Do you need a ride to reach the Center?
Question/notes to the Center:
Consent
I agree to the Terms and Conditions
Applications are accepted on first come first serve basis. We will get back to you confirming that your application was accepted and instruct you how to secure your place. Thank you!
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Application for Beginner’s Mind 3-Day Retreat

Health information

Just a few more details

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