2025 Hsi Lai Temple "One-Day Meditation Retreat" Registration Form 
The One-day Buddhist Meditation Retreat is intended to be an intensive retreat for those who have at least a basic experience of meditation. This retreat features a regimented schedule of sitting, standing and walking meditation instruction and Dharma Talks. 

Please note that sitting sessions are 40 minutes long. It is recommended that applicants start working on lower body flexibility, especially the hips.

**Retreat Details**

DATE: Saturday, April 19, 2025
TIME: 10:00am - 5:30pm Pacific
CHECK-IN: 9:30-9:55am (Please be punctual. Orientation will begin promptly at 10:00am)
AGES: 16 years and older
OPEN DONATION: We welcome your kind donation to cover your meal, snacks, facility use, uniform cleaning, and general overhead. Please kindly bring your donation to check-in on April 19. 

Spots limited to 40 people
This is an in-person retreat
 

**An email will be sent one week prior to the retreat with pre-arrival details. You are required to confirm your attendance by the deadline or your seat will be forfeited. 

**If a valid email address has been entered, you will receive a confirmation email acknowledging receipt of application submission (usually takes a few minutes). 

**This retreat will be held when it reaches the minimum number of successful applications. If it fails to reach the minimum number, the retreat will be postponed to a later date, TBA.

**This is a silent retreat. Cell phone use will not be allowed--please leave it at home, or we will need to collect it at check in.

**A uniform will be provided and required for the duration of the retreat.

**A vegetarian meal will be provided by the temple.
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Email *
1a) FIRST Name *
1b) LAST Name *
2a) Cell Phone Number *
10 digits, no punctuation please.
2b) From what city will you be joining us? *
2c) Email *
Please double check the email you entered, as it will be the main way we reach you.
2d) Email List: Would you like to receive occasional announcements of our events? *
3) Gender *
4a) Height *
For uniform preparation. Please use feet' inches" measurements, i.e., 5' 11"
4b) Weight (lbs) *
For uniform preparation. Please use pound [lbs.] measurement - . i.e 135 lbs
5) Age Group *
6) Do you have ANY underlying medical conditions or dietary restrictions? *
Please list any medical conditions, including food allergies, as well as dietary restrictions. We are unable to fulfill gluten free requests. 
7a) What is your profession? *
7b) Please describe yourself in 3-4 sentences. *
Tell us about yourself, your interests, and anything else you would like us to know.
7c) Have you attended other retreats or meditation classes in the past? If so, please briefly describe the type(s) of retreat(s)/class(es) you have been to. *
8) Where did you hear about this event? *
INTERNATIONAL BUDDHIST PROGRESS SOCIETY PARTICIPANT AGREEMENT / WAIVER OF LIABILITY
9a) INTERNATIONAL BUDDHIST PROGRESS SOCIETY EVENT PARTICIPATION AGREEMENT : I declare that I am in good physical health and that I am able to participate in the “F.G.S. Hsi Lai Temple One-Day Meditation Retreat” held on 4/19/2025. However, if I should experience any physical or health problems during the event and I am unable to continue, I will leave voluntarily. If medical care is required for any illness that may occur, I will be fully responsible for the charges. Should any accident occur due to my own negligence or intentional act or any undiscovered sickness that I may have during the event, I will be solely responsible and will not hold the organizer, International Buddhist Progress Society (Fo Guang Shan Hsi Lai Temple) or any of its employees, staff, or volunteers liable. During the event, if I experience any extraordinary physical conditions which interfere with the practice of other participants, I will  accept the directions of the organizer and leave the retreat without dispute.  If medical care is required, I authorize the organizer and its staff and volunteers to exercise its best efforts to render medical aid, and I will be fully responsible for the charges and will reimburse the organizer for any and all hospital, medical and other expenses incurred. In the case of an emergency, I authorize the organizer to take any reasonable immediate action in their best efforts.


9b) Waiver E-Signature *
Please type your name below to acknowledge agreement to the terms of participation.
INTERNATIONAL BUDDHIST PROGRESS SOCIETY MEDIA POLICY AGREEMENT
10a) International Buddhist Progress Society (Fo Guang Shan Hsi Lai Temple) reserves the right to take photographs, images, video, or audio recordings of any and all classes and activities during the event for temple records, website and future publications.
10b) Media E-Signature *
Please type your name below to acknowledge agreement to the media policy.
11) Is there anything else you would like us to know or have concerns about?
12) Do you have any questions regarding Buddhism? (We will compile the questions for Q&A session)
Thank you ! Please click "SUBMIT" to complete your registration.
**If a valid email address has be entered, you will receive a RECEIPT in your EMAIL momentarily.**
A copy of your responses will be emailed to the address you provided.
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