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Course and Accomodation Booking - November Course
Complete the registration form and submit it.
You will receive an email within three weeks to let you know if you have been accepted to the course.
Your Contact Details
* Required fields
Please note:
Minimum age for participants is 19 years.
First Name
Last Name
Gender
- Select -
Male
Female
Age
Email
Nationality
- Select -
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
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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
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Guinea-Bissau
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Heard
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Hungary
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Iraq
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Israel
Italy
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Japan
Jersey
Jordan
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Kenya
Kiribati
Korea
Korea (Democratic)
Kuwait
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Lao
Latvia
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Lesotho
Liberia
Libyan Arab Jamahiriya
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Netherlands Antilles
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New Caledonia
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Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
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Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Principe
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts
Saint Lucia
Saint Martin (French part)
Saint Pierre
Saint Vincent
Samoa
San Marino
Sao Tome
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
The Grenadines
Timor-Leste
Tobago
Togo
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Turks Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis
Western Sahara
Yemen
Zambia
Zimbabwe
Address
City
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
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Futuna Islands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard
Herzegovina
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen Islands
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea (Democratic)
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
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
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Principe
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts
Saint Lucia
Saint Martin (French part)
Saint Pierre
Saint Vincent
Samoa
San Marino
Sao Tome
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
The Grenadines
Timor-Leste
Tobago
Togo
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Turks Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis
Western Sahara
Yemen
Zambia
Zimbabwe
Phone
Background Information
Are you a doctor or nurse?
Yes
No
Are you a psychologist or counselor?
Yes
No
Have you done a Kopan November Course before?
Yes
No
Are you an FPMT student?
Yes
No
Have you done a 10 course at an FPMT Center?
Yes
No
How long have you been studying Buddhism?
*
In which tradition? (Tibetan, Theravada, other (give details))
*
Medical Information
Do you smoke regularly?
Yes
No
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, PTSD?
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
Are you allergic to medication such as aspirin, sulphur based medication, penicillin, antibiotics etc?
Yes
No
If yes, please give details
Are you snoring, or using 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
Gluten Free
Sorry, we are not able to cater for other allergies.
If you are vegan please note that there are enough choices at lunch.
However breakfast and dinner are vegetarian, but not vegan.
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 On
Departing On
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 3:30 pm, we recommend you to stay in Boudhanath overnight.
For accommodation bookings in Boudha google: 'Boudhanath Guesthouses and Hotels'.
After November course, are you planning to attend
7-days Lam Rim Retreat (during which participants keep complete silence)
Vajrasattva retreat - Applications to be done in our website.
Translation
If you are not a native English speaker, do you require Translation?
Not required
French
German
Spanish
Other (Please specify)
Choice of Room (Please choose three different types of accommodation)
Please read the information on accommodation carefully. There are only very few single rooms available for this course, and they are initially reserved for sick and old people. Most people will be accommodated in double rooms, 4-bed rooms and dormitories.
Make your room choice here:
Accomodation Gallery
First Choice
- Select -
Dormitory / Shared Bathroom
4-Bed / Shared Bathroom
Double Room / Shared Bathroom
Single Room / Shared Bathroom
Standard Double / Private Bathroom
Superior Double / Private Bathroom
Single Room / Private Bathroom
Delux Double / Private Bathroom
Delux Suite / Private Bathroom
Second Choice
- Select -
Dormitory / Shared Bathroom
4-Bed / Shared Bathroom
Double Room / Shared Bathroom
Single Room / Shared Bathroom
Standard Double / Private Bathroom
Superior Double / Private Bathroom
Single Room / Private Bathroom
Delux Double / Private Bathroom
Delux Suite / Private Bathroom
Third Choice
- Select -
Dormitory / Shared Bathroom
4-Bed / Shared Bathroom
Double Room / Shared Bathroom
Single Room / Shared Bathroom
Standard Double / Private Bathroom
Superior Double / Private Bathroom
Single Room / Private Bathroom
Delux Double / Private Bathroom
Delux Suite / Private Bathroom
Course Discipline
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. You will receive an email from us with deposit details, a few weeks later you have been accepted to the course.
Additional Notes
Please note that at Kopan Monastery, we adhere to the five precepts: no killing, no stealing, no lying, no sexual activity, and no tobacco, alcohol, or drugs.
Please note that this is not a Vipassana meditation course.
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