2020 the 7th Summer Youth Meditation Camp Application Form (Appendix 3)

The camp participant and I both fully understand the content of “2020 the 7th Summer Youth Meditation Camp Agreement Form (Appendix 1)”.    I give permission for my child to attend the camp’s full curriculum and follow all the camp rules during Aug 3 to Aug 8, 2020.

YES*

Name of Parent:*

Participant’s Special Health Conditions:

None

Heart Diseases

Epilepsy

Asthma

Diabetes

Food Allergies

Medication Allergies

Other Diagnosed mental disorder , ADHD , ODD or others

If applicable, please provide more details on the health conditions or allergies.

In case of a severe allergy or anaphylactic reaction, I agree to provide my child with the appropriate EpiPen to be used during such a reaction. If any other course of action needs to be taken (such as other emergency medication eg. antihistamines, puffers, etc), please state below and ensure that the camp staff have access to these medications.

Youth English Name*

First

Last

Youth Chinese Name*

Date of Birth:*

01020304050607080910111213141516171819202122232425262728293031

 / 

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

 / 

20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901

day

month

year

Gender:*

Select valueMaleFemale

Day School:*

Day School Grade*

Youth OHIP Health Card Number:*

Parents E-mail:*

Father’s legal Name:*

First

Last

Father’s Cell phone#:*

Area Code

-

Phone Number

Mother's legal Name:*

First

Last

Mother’s Cell phone#:*

Area Code

-

Phone Number

Home address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry

Emergency Person’s Name:*

Emergency Person’s Cell phone#:*

Area Code

-

Phone Number

Home Language:*

English

Mandarin

Cantonese

Other (Please specify)

Other Language:

Referral by 介紹人:*

Suggested Donation: Tuition fee：CAD $800/ per participant 每位小朋友
Payment Methods:*

E-Transfer

Cheque 支票

Cash 現金

---

Please have your child fill out the rest of the form below:

---

What’s your Chinese level?:*

I don’t know any Chinese.

Beginner: Basic speaking & listening only, can communicate with others in basic Chinese.

Intermediate: Can speak, listen and read some Chinese.

Intermediate to advanced: Can read Chinese newspaper.

Have you participated in Youth Meditation camp before? If yes, what year and what you had learnt? *

What’s the motivation for you to attend the camp?*

Have you participated in Great Compassion Bodhi Prajna temple’s weekend youth program?*

How long do you think you can sit quietly and still? *

Five minutes

Ten minutes

Fifteen minutes

Twenty minutes or more

What’s your hobbies and interests?*

Please describe yourself in a couple of sentences.*

Date:*

01020304050607080910111213141516171819202122232425262728293031

 / 

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

 / 

20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901

day

month

year

By submitting this form, you have read and agree to camp agreement; you also confirm that the information given in this form is true, complete and accurate.

YES 同意*

SubmitReset

2020 7th Summer Youth Meditation Camp Agreement Form

Dear Youth Camp Attendees:

Welcome to the GCBP Temple’s “2020 7th Summer Youth Meditation Camp”.  

Before registration, please review and respect the following rules: 

1. After completing the registration process, please stay for the full duration of the camp and follow the temple’s camp curriculum schedule.  Do not leave the group without a reason.  

2. During the camp period, please pay attention to your personal safety.  If a participant needs to leave the camp for any reason, please obtain consent from the teaching Master.  If a participant leaves the group or camp without notice, the temple is released from any liability of accidents incurred.

3. Please prepare and bring any personal medications if needed.

4. During the camp period, because the temple does not have enough bathrooms, please follow the shower schedule assigned by the camp staff.

5. During the camp period, please do not bring any valuable items (such as wallet/purse, cell phone, calculator, tablet, or hand-held game consoles).   In case of an emergency need, please contact the teaching Master or camp staff.

6. Please pay attention to the cleanliness of the environment at all times.  Please do not bring snacks and non-vegetarian meals into the temple. Please follow a vegetarian diet in the temple during the camp period.  Do not waste and do not be picky about food. 

7. In the temple, please do not speak loudly, chase, run, or jump.

8. After using the bathroom, please keep the environment clean for others’ use.

9. Please remember to bring the following items:

• Personal clothing for change, toiletries, shower gel, toothbrush, toothpaste, and towel.
• Comfortable clothing for ease of meditation (No jeans or tights).
• Outdoor shoes or closed toed shoes, light jacket, comfortable long sleeve clothing for ease of outdoor activities.
• Pillow, pillow cover, and sleeping bag.
• Light folding umbrella, flashlight, thermos cup, and bug spray.

Next Step

2020 7th Summer Youth Meditation Camp Parent Agreement Form

Introduction of 2020 the 7th Summer Youth Meditation Camp

1. Camp Purpose: To guide youth, to inspire innate pure minds, to foster grateful minds, and to respect lives.

2. Organizer: Great Compassion Bodhi Prajna Temple

3. Head Teaching Master: Master Miao Jing

4. Deputy Teaching Master: Master Miao Yin

5. Date: Aug 3 ~ Aug 8, 2020 

6. Location: Great Compassion Bodhi Prajna Temple, Hidden Forest Dr.,  Whitchurch-Stouffville,  L0G 1E0

7. Total Spaces Available: 15

8. Qualification: 

1. Age between 10 and 18, physically and mentally independent teenagers

2. Interest in Buddhism

3. Attendees with special conditions should be accompanied by a parent.

9. Suggested Donation: CDN $800 (including meals, accommodation, uniforms, teaching materials, and miscellaneous).  An official donation receipt can be issued. Please provide the name of the donor.

10. Please read  camp agreement with the participant (Appendix 1),  submit parent agreement and camp application form online. You will receive a confirmation  within one week of submission. Please email to This email address is being protected from spambots. You need JavaScript enabled to view it. if you have any questions. The deadline for camp application is July 1st, 2020.

Thank you! 

 

Begin Registration