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Heart Sutra Retreat - Booking Form
Please complete and submit this booking form.
Your Contact Details
* Required fields
Please note:
Minimum age for participants is 19 years.
First Name
Last Name
Gender
- Select -
Male
Female
Age
Note:
Gender is for rooms allocations. Females & Males are accommodated separately.
Email
Nationality
Address 1
Address 2
City
State
Post Code
Country
- Select -
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
British Indian Ocean Trty.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Caicos Islands
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
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Ethiopia
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard
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Holy See
Honduras
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Hungary
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India
Indonesia
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Iraq
Ireland
Isle of Man
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Italy
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Jan Mayen Islands
Japan
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Kenya
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Korea
Korea (Democratic)
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Lao
Latvia
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Lesotho
Liberia
Libyan Arab Jamahiriya
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Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
McDonald Islands
Mexico
Micronesia
Miquelon
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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Northern Mariana Islands
Norway
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Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
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Pitcairn
Poland
Portugal
Principe
Puerto Rico
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Reunion
Romania
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Saint Pierre
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Somalia
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Venezuela
Vietnam
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Virgin Islands (US)
Wallis
Western Sahara
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Zimbabwe
Phone
Your Buddhist Experience
Are you an ordained monk or nun?
Yes
No
If yes, what is your ordination name?
Are you new to Tibetan Buddhism?
Yes
No
Have you taken formal Buddhist refuge?
Yes
No
Do you have a basic knowledge of the topic of emptiness or have already done an introductory course to Buddhism within the Tibetan lineage?
Yes
No
Medical Information
Have you received Covid vaccination?
Yes
No
Vaccination Date
Do you suffer from illness such as TB, HIV or similar?
Yes
No
If yes, please give details
Are you suffering from mental health issues such as depression, manic or psychotic episodes, schizophrenia, OCD?
Yes
No
If yes, please give details
Are you on medication for the above mental health problems?
Yes
No
If yes, then we need a commitment from you that you will continue taking the medication during your stay at Kopan.
Please make your commitment here. Meditation is
not
recommended for people who suffer from mental health issues such as mentioned above as it can worsen the condition.
Do you take any medication for pre-existing conditions such as diabetes, heart problems etc?
Yes
No
If yes, please give details
Do you snore, or use a sleeping machine?
(this is important as it will help us in the room allocation)
Yes, I am snoring
Yes, I have sleep apnea and am using a CPAP machine
No
Food Allergies (Please tick the allergy that applies to you)
Non-Dairy
Wheat Free
Sorry, we are not able to cater for other allergies.
All our meals are vegetarian, if you are vegan please note that there are enough choices.
Are you planning to have travel insurance?
(this is strongly recommended)
Yes
No
Contact person information in case of emergency.
Full Name
Phone
Relationship to you
Email
In case of a serious medical incident, do you authorize Kopan to arrange necessary care and possible intervention?
Yes
No
Your Schedule
Arriving at Kopan
Departing Kopan
Please note:
The monastery gates close at 5 pm.
It is best to time your flight so you can arrive at Kopan during office hours: 9am -11.30am, 1pm - 5 pm.
If your flight arrives after 7 pm, we recommend you to stay in Boudhanath overnight.
For accommodation bookings in Boudha google: 'Boudhanath Guesthouses and Hotels'.
Translation
Do you require Translation? If yes, we will be offering translation in these languages only - please bring a manual FM radio.
Not required
Italian
Spanish
Retreat Material
Participants will need the 2020 edition of the Retreat Prayer Book, it's available digitally on the FPMT Foundation Store website, you can find it
here
.
Kopan can make available hard copies for those who don’t have digital devices. The price will depend on demand, the Retreat Prayer Book will be handed to you upon arrival in our reception and you can pay for it then.
If you have hard copies of the Retreat Prayer Book from previous years, you will need to print and bring with you the errata sheets to update your text: (
A5
,
spread
)
For those needing translations, once you book and are accepted into the retreat, we will put you in contact with the translator of your specific language so they can inform you about the retreat material in your own language.
Do you like to order a hard copy of the Retreat Prayer book?
No
Yes
Choice of Room (Please choose three "different" options in the drop down list)
Please read the information on accommodation carefully. We only have very few single rooms, most people will be accommodated in double rooms, 4-bed rooms and dormitories. Accommodation is allocated by registration number. Registration numbers are allocated by booking dates. Your accommodation will be confirmed to you upon arrival, we cannot confirm your accommodation before. Couples don't share accommodation at Kopan. If you wish to share a room with a friend of the same gender, please let us know. Make your room choice here:
Accomodation Gallery
First Choice
- Select -
Single Room / Private Facility
Standard Double / Private Facility
Superior Double / Private Facility
Deulx Double / Private Facility
Triple Room / Private Facility
Delux Suite / Private Facility
Single Room / Shared Facility
Double Room / Shared Facility
4-Bed / Shared Facility
Dormitory / Shared Facility
Second Choice
- Select -
Single Room / Private Facility
Standard Double / Private Facility
Superior Double / Private Facility
Deulx Double / Private Facility
Triple Room / Private Facility
Delux Suite / Private Facility
Single Room / Shared Facility
Double Room / Shared Facility
4-Bed / Shared Facility
Dormitory / Shared Facility
Third Choice
- Select -
Single Room / Private Facility
Standard Double / Private Facility
Superior Double / Private Facility
Deulx Double / Private Facility
Triple Room / Private Facility
Delux Suite / Private Facility
Single Room / Shared Facility
Double Room / Shared Facility
4-Bed / Shared Facility
Dormitory / Shared Facility
I agree to follow the course discipline and attend all sessions as stated in the
course guidelines
We reserve the right to ask course participants to leave if they don't abide by the course discipline.
Regarding payment of deposit:
Payment of deposit is not required at this stage. If you have been accepted to this retreat, you will receive an email by the 1st of March 2024, with information of a non-refundable deposit of US$ 150 to secure your place.
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