Collegiate Meditation Camp Registration Form - Great Compassion Bodhi Prajna Temple

Name *

First

Last

Date of Birth *

Gender *

Male
Female

Name of School *

Year of School *

OHIP Health Card Number *

Your Email *

Parents' Email *

Your Phone Number *

Parents' Cell Phone Number *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Father's Legal Name *

First

Last

Mother's Legal Name *

First

Last

Emergency Contact *

Emergency Contact Phone Number *

Home Language *

English
Mandarin
Cantonese
Other, please specify

Other Language

Referred By *

Have you participated in our youth meditation camp before? *

Yes
No

Year(s) of youth meditation camp attended

Have you been a big brother/sister in our Youth Meditation camp before? *

Yes
No

The year(s) been a camp big brother/sister

What’s your motivation to attend this camp? *

Have you participated in our weekend youth program in the past years? *

Yes
No

The year(s) participated in temple's weekend youth program

Do you practice meditation regularly? *

Yes
No

How often do you practice and how long do you practice each time?

What are your hobbies and interests? *

Please describe yourself (min 100 words) *

Within a week upon receiving your application, Meditation Instructor Dharma Master will arrange an interview with you at the temple. Once we have confirmed that this is a suitable camp for you, please submit tuition donation with 24 hours to complete your registration due to our limited number of spots.

Suggested Tuition Donation: CAD $600/ per participant

Donation Method *

Interac E-Transfer to:
donation@gcbptemple.org (only apply in Canada)
Please write the applicant’s name and which camp at the notes for e-transfer

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