In-person Retreat Application Form – Shasta Abbey Buddhist Monastery

In order to attend a retreat in person, you may complete the Application Form to Submit Online, and then click “Submit.” Or, if you would like to mail it in, follow the directions below for the Mail-In Application Form.

Before you submit your application form, please read the Shasta Abbey Guesthouse Rules.

Mail-In Application Form

If you would like to mail in the application, first download the Retreat Application in pdf form. Then print the form and please fill it out as completely as possible before mailing it to:

Guestmaster
Shasta Abbey
3724 Summit Drive
Mount Shasta, CA 96067

Application Form to Submit Online

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Name

First

Last

Age and Gender

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telephone

Which retreat would you like to attend?

us the Email

Date / Time

Date

Time

Please let us know if you will be arriving by car, bus or train.

Car
Bus
Train

Please tell us something about the reason you want to attend this retreat at Shasta Abbey.

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

Have you attended a retreat at the Abbey before?

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

It is helpful for us to know in advance about whatever health problems you may have so that we can adjust for any physical limitations or dietary needs they may require during your stay. Do you have any allergies, physical disabilities or limitations or medical problems?

Please list medications you take and for what conditions.

Agreement

I have read and agree to the

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