Nan Tien Temple

Basic Buddhism Online Registration

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Applicant Details

First Name *

Last Name *

Gender *

Date of Birth *

(Please select Year first)

BLIA Member ? Yes

Branch of BLIA *

Guiding Reverend *

Education Qualification
Reference Description

Occupation Classification *

Occupation Sub-classification

Contact Details

Address * Cannot find

Street No. * Street Name * Suburb *

State/Territory * Postal Code * Country *

Mobile * Email * Fax

Course Details (Special Offer $100 is payable for booking both Course A and B when attend classes at Nan Tien Temple)

Attendance Type *

Course A *

Course B ( Optional )
(Take both Basic Buddhism and Meditation class at Nan Tiem Temple, a discounted fee of $100 is payable)

Term (starts from) *

Payment Method

*

If you are having difficulty paying online, please contact us on (02) 4272 0602 so that we may assist you.
Opening hours 9am-5pm Tuesday-Friday.

Additional Information

Please answer the following questions.
Please give details if you answer "Yes" to the following questions; (type, frequency, amount etc.)
All information will be kept strictly confidential. Thank you for your co-operation.

1. Do you have or ever had any physical health problems; e.g. Diabetes, heart disease, epilepsy etc.? Yes No

2. Do you have or ever had any mental health problems; e.g. significant depression, anxiety, panic attacks, schizophrenia etc.? Yes No

3. Are you now taking, or have you taken any drugs in the past two years; e.g. Barbiturates, cocaine, amphetamines, alcohol, marijuana or other intoxicants? Yes No

* Pregnant women are advised to consult the Doctor before joining Tai Chi and Meditation Class (Basic Buddhism Class excepted). We cannot accept any responsibility as complications may arise.
* No transfer of classes after the commencement of the course.

Dress Code & Etiquette

As a Buddhist Temple, we ask that visitors wear modest clothing. Please wear appropriate attire and be suitably covered i.e. no shorts, sleeveless tops or thongs.

Please observe Noble silence
Noble Silence means no talking or non-verbal communication, except in emergencies or discussion times with the Reverend/Teacher.

Here at the Temple we implement the practice of noble silence during meditation classes and retreats. This practice assists in clearing the clutter within our minds and creating an environment conducive to the development of awareness, attentiveness and compassion.

Media Share Consent

By choosing 'Yes', this indicates that you give us consent to use your photographs, images, video, or audio recordings of the classes and activities for temple records, website and future publications.

Yes No *

Declaration

I hereby declare that:

The information I have provided in this application is true and correct, and I will notify Nan Tien Temple of any change.
I have read all the information related to this retreat/course, and accept and agree to all of its Terms and Conditions. I agree to abide by Nan Tien Temple's policies and procedures for the duration of the retreat/course.
I take full responsibility and liability for my own health and safety, including any accidents, risks, or "acts of nature" during the retreat/course.
I have read and agree to the Refund Policy and the Privacy Policy.

Confirmation

* I acknowledge that it is a condition of my application that I have read, understood, acknowledged and agreed to the above declaration.

©Copyright 2024 Fo Guang Shan Nan Tien Temple, Australia, All rights are reserved.
E-mail: info@nantien.org.au Phone: +61 (2) 4272 0600
Address: 180 Berkeley Road, Berkeley, NSW 2506 Mail: PO Box 1336, Unanderra, NSW 2526