Please fill in all fields as completely as you can and return this form by clicking the SUBMIT button at the end of the form. If something does not apply, please enter “None” into that field. Most text boxes will expand to accommodate as much text as you would like to write. We are grateful for the details you provide, which helps us to get to know retreat applicants.

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Name *

First

Last

Email *

Mailing address: Number/Street or PO Box, City, State, Zip code

Age and Gender *

Online Retreat Name and Retreat Dates: *

Please tell us something about the reason you wish to participate in this retreat online with Shasta Abbey. *

Have you attended a retreat at the Abbey before, either online or in person? *

your Box, participate

Briefly describe your previous experience with meditation and/or Buddhist training, adding any other information about your religious background which might be helpful. *

Please describe briefly any experience you have had in the areas of therapy, the healing arts, or similar practices. *

Submit

Please contact the Guestmaster or call us at 530-926-4208 ext. 305 if you have any questions about this application.