Registration

mm/dd/yyyy (four-digit year)

If you practice with a local Sangha or meditation group, please write the name of the group in the space provided.

By checking the box above, I confirm that I am not the parent, stepparent, or guardian of a teen attending Teen Camp.

We ask all volunteers to please bring their own tent to camp, if at all possible. If you require other accommodations, kindly explain in the "Notes" section of this form. Please select your answer from the drop-down menu.

Volunteers have the opportunity to participate in many of the scheduled retreat activities. If you feel inspired and have the means, we would greatly appreciate your additional support. Please select your answer from the drop-down menu. The amount selected will be added to the minimum $25 application fee. The regular adult camping fee for this retreat would be $340.

Are you willing to undergo a Live Scan Criminal Background Check?

What is your previous experience with Deer Park Monastery?

If not answered in the previous question, what is your experience in the Plum Village Tradition?

Have you worked as a volunteer for the monastery before and if so, what was your assignment?

For those with volunteer experience at Deer Park, is there a service family that you would be happy to lead?

Is there a monastic currently residing at Deer Park who knows you and can act as a reference? If you do not have a reference, please answer no.

Please click on the drop-down arrow to select your level of first aid experience. Experience in this field is not required to serve as a volunteer.

If not previously mentioned, what training, skills, and/or past experience can you offer to the retreat?

Why would you like to volunteer for this retreat?

Please describe any allergies you have. Kindly note that we are unable to accommodate special diets and we do not have a cooking space for guests. If you are on a special diet, you may wish to bring some vegetarian food that does not require preparation to supplement your meals.

Please describe any ongoing medical conditions you may have and any medications you take for your physical health.

If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health.

By checking the box above, I and all parties on this registration relieve Deer Park Monastery from all liabilities in the event of any injury or illness incurred while visiting Deer Park Monastery.

Have you officially received the Five or Fourteen Mindfulness Trainings? Please select your answer from the drop-down menu.

If applicable, when and where did you receive the Mindfulness Trainings? If not applicable, please enter N/A.

If you received a Dharma or lineage name, please enter it above.

Your emergency contact will only be notified in the event of an emergency.

By checking the box above, I agree to notify the Deer Park registration office by e-mail or phone in the event that I cannot volunteer. I understand that the $25 application fee is non-refundable (except if my application is declined) and that registration is non-transferable.

By checking the box above, I acknowledge that I am applying for a mindfulness retreat volunteer program. If accepted, I understand that I am expected to participate in the daily volunteer schedule and to practice according to the Five Mindfulness Trainings during my stay (please see our website for more info). I understand that I am expected to remain on the monastery grounds for the duration of my stay, unless I receive permission to leave and entry information to reenter. Further, I understand that, except in cases of emergency, I will not have regular access to monastery phones, computers, internet, or Wi-Fi, and that outside work, school, and family obligations must be set aside during my stay.

May we keep in contact? Please select your answer from the drop-down menu. We would like to keep in touch with you, to nourish you with news about the Plum Village Tradition practice and community. We will keep your information safe and secure and we won’t share it with other organizations. You will always be able to unsubscribe easily through a link at the bottom of our e-mails.

Is this your first time attending a retreat in the Plum Village Tradition? Please select your answer from the drop-down menu.

If you received a special registration code, enter it above.

Enter additional notes here.