Beginner Class Registration
Right from the Start - Please complete this form to register your interest in the Beginner Meditation Class with Bhanté Samadhikusalo. The information you provide will help us understand your meditation background and determine whether this programme is suitable for you. Previous meditation experience is not required.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Profession / Occupation
*
Current Employer
Your Connection with the Centre
Have you previously attended a Dhamma talk, meditation programme or other teaching with Bhanté Samadhikusalo?
*
Yes
No
How did you hear about this programme?
*
If someone personally introduced you to the programme, please include their name, This may help your application.
Your Meditation Background
Please tell us briefly about your current meditation practice.
*
For example, whether you meditate regularly, how long you have been practising, and whether you follow a particular meditation method. If you are completely new to meditation, simply let us know.
Do you currently have a meditation or Dhamma teacher?
*
please provide their name. You may also mention teachers you have studied or practised with previously, including retreats or regular meditation programmes you have attended.
Are there any Buddhist or meditation teachers whose teachings have particularly influenced or resonated with you?
*
Please provide their name(s), if applicable.
Your Interest in the Class
What has encouraged you to join the Beginner Class?
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What would you particularly like to develop or understand through this programme?
*
Why are you interested in practising under the guidance of Bhanté Samadhikusalo?
*
Submit
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