Teen Camp - Make reservation

Deer Park Monastery » Teen Camp » Make reservation
 
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Reservation details
  • This retreat is for practitioners age 13–18. If your age is outside of this range, please register for a Seasonal Retreat or a different Special Retreat.
  • mm/dd/yyyy (four-digit year)
  • Please check this box to confirm that the teen being registered on this form is 13 to 18 years of age.
  • Our standard registration fees are set at a reduced level to make retreat attendance more accessible. If you are able to contribute additional funds to your registration costs, it will help us offer financial assistance to those in need. The contribution selected will be added only once to the associated registration. Thank you.
  • Would you be comfortable sharing a tent with teens who identify as trans or nonbinary?
  • This section must be filled out by the teen applying to attend camp. In 3-5 sentences, please explain your reasons for wanting to attend Teen Camp.
Medical Information
  • Please describe any allergies you may have.
  • Please describe any ongoing medical conditions you may have and any medications you take for your physical health.
  • If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health.
  • By checking the box above, I and all parties on this registration relieve Deer Park Monastery from all liabilities in the event of any injury or illness incurred while visiting Deer Park Monastery.
Mindfulness Trainings
  • If you have been given a dharma name, please enter it here.
Billing Details
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Emergency Contact
Additional info
  • For cancellations made prior to arrival day, partial refunds will be available with a cancellation fee of $5 per night for teens. Cancellations made on or after the retreat arrival day do not qualify for a refund. Registration is non-transferable.
  • By checking this box, I acknowledge that I am applying to register for a mindfulness retreat. If accepted, I understand that I am expected to participate in the daily retreat schedule of the monastery and to practice according to the Five Mindfulness Trainings during my stay (the Five Mindfulness Trainings can be found on "The Mindfulness Trainings" page of our website). I also understand that I am expected to remain on the monastery grounds for the duration of my retreat, unless I receive permission to leave and entry information to reenter. Further, I understand that, except in cases of emergency, I will not have access to monastery phones, computers, internet, or Wi-Fi, and that outside work, school, and family obligations must be set aside during my stay.
  • Please click on the drop-down arrow to select yes or no. We would like to keep in touch with you, to nourish you with news about the Plum Village tradition practice and community. We will keep your information safe and secure and we won’t share it with other organizations. You will always be able to unsubscribe easily through a link at the bottom of our e-mails. For further details on how your data are used and stored, please visit: https://deerparkmonastery.org/privacy-policy/
  • Is this your first time attending a retreat at this monastery or any other monastery founded by Thich Nhat Hanh?
  • If you have received a special registration code from the office, enter it here.
  • Enter additional notes here.
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