Direct Registration

Meditation Retreat Application Form

Applying for: 7-Day Mindfulness & Insight Meditation Camp (CAMP-2026-HMB03)
01 Nov 2026 – 07 Nov 2026 • Chanmyay Yeiktha Meditation Centre

Step 1 - Yogi Category & Gender

Yogi Category *

Gender *

Step 2 - Personal Information

Full Name (or Dharma Name if Monk/Nun) *

NRC or Passport Number *

Date of Birth

Occupation / Role

Step 3 - Contact Address & Phone

Primary Contact Phone *

Alternative Phone (Optional)

Email Address (Optional)

State / Region *

Township

Full Address (House No, Street, Ward)

Emergency Contact Name & Relationship

Emergency Contact Phone

Step 4 - Meditation Experience & Student Status

Have you attended our retreats before? Old Student

Check this box if you have previously completed a retreat at this monastery (Old Student). If this is your first time, leave unchecked (New Student).

Previous Meditation Experience & Practice Methods

Retreat Declarations & Rules Agreement

Required I agree to strictly follow all retreat rules and monastery guidelines. Throughout the retreat, I will sincerely adhere to all monastery rules, daily schedules, and instructions from Sayadaws and monastery stewards.

Eight Precepts & Noble Silence: I will observe the 8 Moral Precepts and Noble Silence diligently. I pledge not to leave the monastery grounds without the Sayadaw's prior permission.

Attendance & Cancellation Policy: If unable to attend, I will cancel online before the deadline so waitlisted yogis can participate. I understand that unexcused no-shows may lead to blacklisting for future retreats.

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