Retreat Application

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1. Personal Details
Gender *This question is required.
2. Program Details
3. Health
Do you have any health related issues, mental illness or food allergies? *This question is required.
5. Kwan Um School of Zen Membership
Are you a current member of a KUSZ center? *This question is required.
6. Practice Record
Precepts & Dates
Precepts & DatesPreceptDateName of Zen Center or TempleTeacher's Name
Bhikku /Bhikkuni /Sami /Samini /None
5P/ DTiT/ DT/ SDT/ BT/ JDPSN/ ZM /None
For Bhikkhu or Bhikkhuni please give the following details:
7. Please upload a recent passport sized photograph of yourself. (Max file size 2MB, Format: png,gif,jpg,jpeg) *This question is required.
8. Declaration *This question is required.
Important: This application will be received and approved by the Guiding Teacher before the applicant is admitted to any retreat program. The same applies to former retreat participants.
MUSANGSA                    T: +82 42 841 6084                    F: +82 42 841 1202