Personal Retreat Registration

Please note: All questions are required except for those marked with an *

Personal Information

Full name (as in passport)

Email address

Confirm email:

Nationality

Country of residence

Year of birth

—Please choose an option—200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945

Gender

—Please choose an option—MaleFemaleOther

Are you an ordained monk or nun?

—Please choose an option—YesNo

Tushita Retreat Discipline

Are you aware that only EXPERIENCED practitioners who are planning a STRICT retreat (e.g. keeping silence and doing 4 formal sessions) can do personal retreat at Tushita?

—Please choose an option—Yes

Do you agree to keep the retreat discipline:

• To settle all travel arrangements, calls, e-mails etc before starting the retreat

• To attend all the sessions

• Come to sessions on time

• To keep the silence

• Not to leave Tushita property for the entire retreat

—Please choose an option—Yes

Mental & Physical Health

Do you have any history of serious mental health problems?

—Please choose an option—YesNo

Have you lately / presently been experiencing severe emotional stress or depression?

—Please choose an option—YesNo

If yes to either question, do you feel stable and relaxed enough to participate on this retreat, given that we cannot provide one-on-one counselling? Please give details.

Do you have a medical condition which may affect the retreat?

—Please choose an option—YesNo

If yes, please give details.

Previous Experience

How long have you been studying and practicing Buddhism? In which tradition?

Have you taken Refuge in the Buddha, Dharma, Sangha?

—Please choose an option—YesNo

If so, when?

—Please choose an option—2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959

What Course (Lam Rim) experience do you have? * A one-month Kopan course? * A 10-day Intro course at Tushita or Kopan? * Others? Please explain

Have you ever done a strict practice retreat before? (i.e. doing 4 sessions of PRACTICE each day—this does NOT include courses)

—Please choose an option—YesNo

If yes, please describe your retreat experience.

Retreat Details

What kind of retreat are you planning to do? (e.g. deity practice, ngondro practice, shine)

How long are you planning to do retreat? (Please be aware there is a minimum of 10 days)

Please specify the date you would like to start your retreat:(Please note: Tushita is closed from late-November to mid-February every year)

Earliest possible start date:

Latest possible start date:

Have you been advised by a lama / close teacher to do this particular retreat?

—Please choose an option—YesNo

If yes, specify your teacher's name

What kind of retreat are you planning to do? (e.g. deity practice, ngondro practice, shine)

Will this or another close teacher be available in case you encounter difficulties in your practice during the retreat?

—Please choose an option—YesNo

If so, please give contact details.

Why do you want to do this retreat?

How did you learn about Tushita?

Please select one

—Please choose an option—Internet search engineFacebookKopan/other FPMT centresPosters in townFriends/other travellersGuide BookOther

If 'other', please specify

Is there anything else you think we should know?