staying @ dhammasara : lay guest | Buddhist Society of Western Australia

Returning Lay Guest Form – click here

Lay Guest Application

All guests must have Health Insurance coverage (Medicare included).

Your proposed stay dates (Nov 2019 to Dec 2020 Bookings only, excluding Rains Retreat: 4 Jul - 2 Oct 2020)*
Guests from Western Australia are usually offered up to 2 weeks stay at a time. Interstate/overseas guests may apply for up to 4 weeks.
Salutation*
Given Names*
Surname*
Email Address*
Phone Number
Street Address*
Street Line 2
City*
State/Province/Region*
ZIP/Postal Code
Country*
Date of Birth*
Family Status*
Your Nationality*
- Australian
Do you drive regularly and have a valid driver's licence?*
- Yes
- No
Are you a member of BSWA or affiliates?*
- Yes
- No
Do you consider yourself to be a Buddhist?*
If you do, which tradition & teacher (if any) are you affiliated with?
Have you completed any meditation retreats?*
Please provide approximate regularity and lengths of retreat(s)
Why do you want to stay at Dhammasara Monastery?*
Have you visited Dhammasara Monastery before?*
- Yes
- No
Have you stayed in monasteries or retreat centres?*
Please provide details of your stay (including at Dhammasara)
Your education background, work experience and other skills/talents?*
Do you have any physical health problems?*
Guest are expected to participate in daily monastery work. Give details of any conditions that may endanger you during your stay.
Do you have any mental health problems?*
Please specify any mental health issues, including medication/treatment and when did you last suffer from it.
Are you taking any medications?*
Please bring along your medications during your stay.
Do you have any special dietary requirements?*
We depend on alms of vegetarian and non-vegetarian food. Please bring your own supplements if you are on special diet.
- No special diet
- Vegetarian
Whom should we contact in an emergency?*
Your Relationship with this person, their Name and Contact number.
Your health insurance provider and expiry date.*
All guests must have health coverage (Medicare included) during their stay.
Photo Identification*
A recent photo for us to know you. For overseas visitors, please upload your passport bio page.
Other Supporting Documents (.jpg, .gif, .png, .pdf)
Drop files here or
Declaration*
Check all boxes to indicate your agreement to the conditions of stay.

Your stay dates cannot be extended without prior approval from the Monastery.
- I have read and understand the information page for visitors.
- I have Medical Insurance coverage and in the event that i am hospitalised or needing medical treatment, I will organise for this funding myself. Dhammasara and BSWA will not be responsible for my personal expenses including medical and transportation.
- I have a Valid Australian Visa during my stay, and will not overstay the duration granted.
Your Signature / Initials*
By placing your initials here, we interpret this as being your legally valid signature.
Date Signed / Initialled*
Comments
This field is for validation purposes and should be left unchanged.