Registration

This retreat is for practitioners age 13–18. If the retreatant's age is outside of this age range, please consider registration for a different retreat. Parents of teens are not allowed to attend Teen Camp.

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Please check this box to confirm that the teen being registered on this form is 13 to 18 years of age.

Our standard registration fees are set at a reduced level to make retreat attendance more accessible. If you are able to contribute additional funds to your registration costs, it will help us offer financial assistance to those in need. Please select your answer from the drop-down menu. Thank you.

Would you be comfortable sharing a tent with teens who identify as trans or nonbinary?

If you self-identify as BIPOC (Black, Indigenous, Person of Color) and would like to practice Dharma sharing (circle sharing) with others who self-identify as BIPOC, please check the box above.

This section must be filled out by the teen applying to attend camp. In 3-5 sentences, please explain your reasons for wanting to attend Teen Camp.

Please describe any allergies you have.

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 Mindfulness Trainings? Please select your answer from the drop-down menu. Kindly note that previous training or experience is not required to attend the retreat.

If you have been given a Dharma name, please enter it above.

By checking the box above, I agree to the cancellation policy. For cancellations made prior to arrival day, partial refunds will be available with a cancellation fee of $10 per night per teen. Cancellations made on or after the retreat arrival day do not qualify for a refund. Registration is non-transferable.

By checking this box, I acknowledge that I am applying for a mindfulness retreat. If accepted, I understand that I am expected to participate in the daily schedule of the monastery 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 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.