Express interest & find out more

Participation in our spiritual programme depends on abiding by our guidelines of behaviour in a Dharma environment and course / retreat discipline.

First please check, below, that you have read and understood them.

I understand & agree to abide by these conditions*

Are you a monthly sponsor?

If so, please tick your current monthly sponsorships Friend of Root Institute Maitreya School Shakyamuni Buddha Clinic

Your details

Full name (as in passport)*

Name you like to be called*

Email*

Repeat email

Nationality*

Country of residence*

Gender* Female Male

Age*

Sangha member?* No – lay person
Yes – with rabjung or novice ordination
Yes – with full ordination

Your plans

Arrival date*

Departure date*

Accommodation*

Comments

Mental & physical health

Have you lately / presently been experiencing severe emotional stress or depression?* Yes No

Do you have any history of serious mental health problems?* Yes No

Given that we cannot provide one-on-one counseling, do you feel stable and relaxed enough to undertake this retreat? Please give details*

Do you have a medical condition which may affect the retreat?* Yes No

If yes, please give details*

Previous experience

How long have you been studying and practicing Buddhism? In which tradition?*

Have you taken Refuge in the Buddha, Dharma, Sangha?* Yes No

If so, when?*

What course (Lam Rim) experience do you have?

A one-month Kopan course?* Yes No

A 10-day Intro course at Tushita or Kopan?* Yes No

Other courses and retreats? Yes No

If so, please mention in brief*

Course / retreat registration

Introductory courses & retreats

Intermediate courses & retreats

Pilgrimages

Yoga retreats

How did you learn about Root Institute?

Please select one*

In conclusion

Is there anything else you think we should know?

Security

Thank you for contacting Root Institute!

Our Spiritual Programme Coordinator will be sending you a reply shortly.

Express interest & find out more

Thank you for contacting Root Institute!

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