Eight Precepts Cultivation

Eight Precepts Retreat Application Form

Name

ID#

D.O.B

Age

Gender
FemaleMale

Address

Home Phone

Cell Phone

Email

Buddhism Learning Experience (If apply)
Taking RefugeFive PreceptsBuddha Precept

Dharma Name (If apply)

Dharma Master (If apply)

Where you took refuge (If apply)

Attended Eight Precepts Retreat before?
YesNo

Occupation

Special Medical Condition (Allergies)

BLIA Member
YesNo

Subchapter (If apply)