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

Your proposed stay dates (Oct 2022 to Dec 2023 Bookings only, excluding Rains Retreat: 1 Aug - 29 Oct 2023)*

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.

Max. file size: 256 MB.

Other Supporting Documents (.jpg, .gif, .png, .pdf)

Drop files here or

Max. file size: 256 MB.

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.
Dhammasara Nuns Monastery and the BSWA will not be responsible for any deterioration of the mental state and physical well-being.
I have Medical Insurance coverage. If I am hospitalised for medical treatment, I am responsible for all the medical and transport costs. Dhammasara and BSWA will not be liable for my expenses, including medical and transportation.
I declare that I am not taking any medication or illicit substance that can cause withdrawal from abrupt discontinuation.
If I become mentally or physically unwell, Dhammasara Nun Monastery and the BSWA will contact my next of kin or the nominated person who can organise appropriate medical care.
I am giving my consent for Dhammansara Nun Monastery to contact the local Emergency Department or appropriate services for treatment should I become mentally or physically unwell.
If I am not an Australian citizen, 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.

Lay Guest Application