Retreat Registration Application

Health Information:

Good health

If not good, please state your current condition and medical need:

Health insurance company:

REQUIREMENTS

If I happen to develop coughing, I will wear mask or facial shield at once.

I will temporarily surrender all my electronic devices such as cell phone, ipad… to Tathāgata Meditation Center’s (TMC) office at check-in for the whole duration I stay at TMC as a yogi. In case I need it for urgency or emergency, I will contact TMC’s office and I will respect the retreat coordinator’s discretion at the time)

need translation

Mahasi Tradition Vipassanā retreats attended in the past: How Many Times, Where, When, How Long: