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Khoá Tu Tiếng Việt: Lều - Make reservation
Deer Park Monastery
»
Khoá Tu Tiếng Việt: Lều
» Make reservation
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Reservation details
Resource
*
Gathering: Dorm Space
International Online Retreat (Chinese) 國際在線禅修營
International Online Retreat in English
Khóa tu Trực tuyến Quốc tế
Retiro Internacional En Línea
Gathering: Bring Your Own Tent
Lunar New Year
BIPOC Retreat 3 Bed Dorm Space
BIPOC Retreat 6 Bed Dorm Space
BIPOC Retreat Bring Your Own Tent
BIPOC Retreat Commuter
Rains Retreat Dorm Space
Rains Retreat Bring Your Own Tent
Seasonal Retreat 3 Bed Dorm Space
Seasonal Retreat 6 Bed Dorm Space
Seasonal Retreat Bring Your Own Tent
Volunteer Application for BIPOC Retreat
Volunteer Application for Mindful Music Festival
Volunteer Application for Family Retreat
Volunteer Application for Teen Camp
Volunteer Application for Vietnamese Retreat
Volunteer Application for Wake Up Retreat
Khoá Tu Tiếng Việt: Lều
BIPOC Retreat Waiting List
Climate Action Retreat - Cabin Space
Wake Up Retreat 3 Bed Dorm Space
Wake Up Retreat 6 Bed Dorm Space
Wake Up Retreat Bring Your Own Tent
Arrival Date
*
Retreatant First Name
*
Retreatant Last Name
*
Retreatant Age
*
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1
2
3
4
5
6
7
8
9
10
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14
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89
90
91
92
93
94
95
96
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98
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100
Retreatant Date of Birth
*
mm/dd/yyyy (four-digit year)
Retreatant Gender
*
Retreatant First Language
*
---
Vietnamese
Albanian
Arabic
Cantonese
Catalan
Chinese
Danish
Dutch
English
Farsi
Finnish
French
German
Hebrew
Hindi
Indonesian
Italian
Japanese
Korean
Norwegian
Polish
Portuguese
Romanian
Russian
Spanish
Swedish
Tagalog
Thai
Vietnamese
Retreatant Second Language
---
None
Albanian
Arabic
Cantonese
Catalan
Chinese
Danish
Dutch
English
Farsi
Finnish
French
German
Hebrew
Hindi
Indonesian
Italian
Japanese
Korean
Norwegian
Polish
Portuguese
Romanian
Russian
Spanish
Swedish
Tagalog
Thai
Vietnamese
Medical Information
Medical Conditions/Allergies
Please list any physical or mental health conditions you have.
Type of Medication
Please list medications you are taking.
Doctor's Name
Doctor's Telephone Number
Liability Waiver
*
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
Have you received the 5 or 14 Mindfulness Trainings?
Please select an answer
I have not received the 5 or 14 Mindfulness Trainings
I have received the 5 Mindfulness Trainings
I have received the 14 Mindfulness Trainings
I am a dharma teacher in this tradition
Dharma Name
If you have been given a dharma or lineage name, please enter it here.
Billing Details
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*
Last name
*
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*
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*
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*
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*
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*
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Monaco
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Netherlands
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Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
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Palau
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Panama
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Paraguay
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Pitcairn
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Puerto Rico
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Mobile
+1
-- country code --
Canada / USA (1)
Mexico (52)
United Kingdom (44)
---
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Albania (355)
Algeria (213)
Andorra (376)
Angola (244)
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Antilles / Martinique (596)
Argentina (54)
Armenia (374)
Aruba (297)
Australia (61)
Austria (43)
Azerbaijan (994)
Bahamas (242)
Bahrain (973)
Bangladesh (880)
Barbados (246)
Belarus (375)
Belgium (32)
Belize (501)
Bermuda (441)
Bhutan (975)
Bolivia (591)
Bosnia and Herzegovina (387)
Botswana (267)
Brazil (55)
Brunei (673)
Bulgaria (359)
Burkina Faso (226)
Burundi (257)
Cambodia (855)
Cameroon (237)
Canada / USA (1)
Chile (56)
China (86)
Colombia (57)
Congo-Brazzaville (242)
Congo-Kinshasa (243)
Cook Islands (682)
Costa Rica (506)
Croatia (385)
Cuba (53)
Curacao (599)
Cyprus (357)
Czech Republic (420)
Denmark (45)
Diego Garcia (246)
Djibouti (253)
Dominica (809)
Ecuador (593)
Egypt (20)
El Salvador (503)
Estonia (372)
Faeroe Islands (298)
Falkland (500)
Fiji Islands (679)
Finland (358)
France (33)
French Polynesia (689)
Guiana (594)
Gabon Republic (241)
Gambia (220)
Georgia (995)
Germany (49)
Ghana (233)
Gibraltar (350)
Greece (30)
Greenland (299)
Grenada (473)
Guadeloupe (590)
Guam (671)
Guatemala (502)
Guyana (592)
Haiti (509)
Honduras (504)
Hong Kong (852)
Hungary (36)
Iceland (354)
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Indonesia (62)
Iran (98)
Iraq (964)
Ireland (353)
Israel (972)
Italy (39)
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Japan Idc (81)
Japan Kdd (81)
Jordan (962)
Kenya (254)
Kiribati (686)
Korea, North (850)
Korea, South (82)
Kosovo (383)
Kuwait (965)
Laos (856)
Latvia (371)
Lebanon (961)
Lesotho (266)
Liberia (231)
Libya (218)
Liechtenstein (423)
Lithuania (370)
Luxembourg (352)
Macao (853)
Macedonia (389)
Madagascar (261)
Malawi (265)
Malaysia (60)
Maldives (960)
Mali Republic (223)
Malta (356)
Marshall Islands (692)
Martinique / Antilles (596)
Mauritania (222)
Mauritius (230)
Mayotte Island (269)
Mexico (52)
Micronesia (691)
Moldova (373)
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Montserrat (473)
Morocco (212)
Mozambique (258)
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Nauru (674)
Nepal (977)
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Antilles (599)
New Caledonia (687)
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Niger Republic (227)
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St Vincent (809)
Samoa (684)
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Sao Tome (239)
Saudi Arabia (966)
Senegal (221)
Sierra Leone (232)
Singapore (65)
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Slovenia (386)
Solomon Islands (677)
Somalia (252)
South Africa (27)
Spain (34)
Sri Lanka (94)
Sudan (249)
Suriname (597)
Swaziland (268)
Sweden (46)
Switzerland (41)
Syria (963)
Taiwan (886)
Tanzania (255)
Thailand (66)
Togo (228)
Tonga Islands (676)
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Turkey (90)
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Tuvalu (688)
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Uganda (256)
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Uzbekistan (998)
Vanuatu (678)
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Venezuela (58)
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Wallis (681)
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Yemen (967)
Serbia (381)
Zambia (260)
Zimbabwe (263)
Emergency Contact
Name of Emergency Contact
*
Relation to you
*
Telephone Number of Contact
*
Language of Contact
---
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Cantonese
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Chinese
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Additional info
I agree to the Cancellation Policy
*
For cancellations made prior to October 1, 2023, partial refunds will be available with a cancellation fee of $70 per shopping cart. Cancellations made on or after October 1, 2023, do not qualify for a refund. Registration is non-transferable.
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*
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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/
Retreat at Monastery
---
Please select an answer
Yes: this is my first retreat in this tradition
No: I have attended a retreat at Deer Park Monastery
No: I have attended a retreat at another monastery
No: I have attended an online retreat
Unsure: I need more information
Is this your first time attending a retreat at this monastery or any other monastery founded by Thich Nhat Hanh?
Special registration code
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Notes
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