Peace in Oneself, Peace in the World

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REGISTRATION for the Plum Village Philippines Annual 4-Day Mindfulness Retreat
with Plum Village monks and nuns in the tradition of Thich Nhat Hanh
at Mariapolis Center, Tagaytay City, Philippines
NOVEMBER 3-6, 2016

Name *

Age *

Food/Dietary Restrictions/Allergies

The retreat will serve only vegetarian meals, with vegan and raw options available. All meals in the retreat schedule are included in the registration fee. Please list your dietary restrictions or allergies.

Gender *

Male

Female

Other:

Mobile Number *

Email Address *

Retreat Participation *

4-Day Full Schedule (Php 4,300)

Joining the Retreat on Friday evening/Saturday morning (Php 3,300)

Accommodation Options *

The standard accommodation is dormitory type. If you wish for more private accommodations, please choose below.

Standard/Dormitory: No additional costs, this type of accommodation is standard in the Retreat Fee

Twin Sharing Room: The 2 persons sharing the room will have to add Php 1,200 EACH to registration fee

Single Room: Participant will have to add Php 2,200 to registration fee

If you have a car or vehicle, are you willing to make it available for carpool with other participants? *

Yes, I have a car or vehicle and wish to invite other participants to carpool with me on November 3, on the way to Tagaytay.

Yes, but I will be making my way to Tagaytay on Friday evening (November 4).

No, I do not have a car or vehicle, so I will find my way to the venue by public transportation or carpool if available.

Other:

Health/Medical Conditions *

If you have any, please provide more details in the "Other" field.

I have no problem with my health

Asthma

I'm a PWD

I'm pregnant

I'm bringing an infant/child with me

Other:

Required

In case of an emergency, please contact: *

Have you attended a Plum Village retreat/event before? If yes, please tell us about it and how was your experience.

Do you know or have you heard/read about Thich Nhat Hanh?

The 2016 Plum Village Teaching Tour in the Philippines is a non-profit activity, and totally dependent on the local Buddhist community's practice of "dana", or generosity by Plum Village followers and supporters. We welcome donations; please write the amount you are willing to contribute in the field below and include it in the deposit of your registration fee.Thank you!

Do you have any more questions or concerns?

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