bodhinyana guest application form

Last Name*

First Name*

Email Address*

Your Email Address (Email is preferred for correspondence, especially for overseas visitors)

Enter Email Confirm Email

Phone Number

Australian land line or mobile as preferred. Overseas visitors please give country & area code.

Gender*

Guest accommodation is separate for men and women. Transgender and intersex visitors are welcome.

Male
Female

Why do you want to stay at Bodhinyana Monastery?*

When would you like to visit?*

General (2 weeks, Jan/Feb 1999) or specific (1st June 2050 to 14th June 2050) Bookings taken up to one year in advance (i.e. You can book any time in November 2017 from 1st November 2016)

Where do you live?*

Guests in Western Australia are usually offered up to 2 weeks stay at a time. Those from outside the state may stay for up to 4 weeks.

Western Australia
Elsewhere in Australia

Have you visited Bodhinyana Monastery previously?*

Yes
No

Have you completed any meditation retreats?*

Please provide approximate regularity and lengths of retreat(s)

Do you consider yourself to be a Buddhist?*

If you do consider yourself to be a buddhist, which tradition, teacher are you affiliated with (if any)

Have you experience in living in monasteries or communities?*

Please provide details of any experience you have had staying in monasteries or communities.

What is your nationality?*

What is your date of birth?*

Do you have a valid driver's licence?*

Yes, manual and automatic
Yes, but only automatic
No

Do you have any physical health problems?*

Guests may be required to do physical labor. If you have an injury or condition that would make this difficult then the booking must be approved by the work master. Please also give details of any condition that could endanger you or require treatment during your stay.

Do you have any mental health problems?*

Please specify any mental health issues that could endanger you or require treatment during your stay.

Are you taking any medications?*

Please specify any medications you will need to take at the time of your visit.

Whom should we contact in an emergency?*

Your relationship with this person, their name and phone number.

I have read and understand the information page for visitors.*

Please visit the information page for visitors and make sure you read and understand the information there.

Yes, I have read the information and agree to abide by the conditions there

Bodhinyana Guest Application