Meditation for life - Application
Meditation for life is a five-day retreat led by Martine Batchelor. The retreat begins on Tuesday, October 15 at 5 pm and ends on Sunday October 20 at 1 pm.
Daily retreat schedule is from 6 am until 9 pm. Participants are expected to follow that rhythm, as well as instructions from the teacher and manager of the Centre.
Retreat life reflects the spirit of community self-reliance - each participant is assigned a task associated with maintaining the place that serves both her/him and the group. If you have questions or concerns, please contact us before you apply.
Please detail the following questions. Use "Notes to the Centre" at the bottom of the page to write down everything you think we should know but have not asked you. Information you provide is confidential and will be used only by the teacher so she might help you during the retreat. 
 
Name and surname:
Date of birth:
Occupation:
E-mail:
Contact phone no:
Address:
Your photo:
Member of the Buddhist centre, Zagreb:  Yes   No
I want to be on your mailing list:  Yes   No   I already am

Previous meditation experience
 
How long do you practice meditation?   
Who instructed you?
How regular is your practice?  daily 
 weekly 
 monthly 
 occasional
How long is your sitting period?
Your method of meditation is:
What posture do you use?
Have you alredy attended a prolonged meditation retreat?  Yes   No
Please list the latest ones: Teacher: 
 
Where: 
 
When: 
 

Teacher: 
 
Where: 
 
When: 
 

Teacher: 
 
Where: 
 
When: 
 
Health information  
The purpose of these question is to ascertain possible effets of retreat on your health status.
Have you ever experienced serious leg or back problems?  Yes   No
Please state the nature of problem and current condition:
Have you ever been treated for seious emotional problems?  Yes   No
Please state the nature of problem and current condition:
Do you have low or high blood pressure?  Yes   No
How serious?
Have you ever during meditation experienced symptom of headache, dizzines, palpitation or shortness of breath?  Yes   No
Please state the nature of problem and current condition:
Do you have heart problems?  Yes   No
How serious?
Did you ever undergo a major surgery?  Yes   No
Please state the nature of problem and current condition:
Do you have dietary restrictions or food allergies?  Yes   No
Please explain:
Do you suffer from other allergies?  Yes   No
Please explain:
Have you ever had serious infectous desease?  Yes   No
Please state the nature of problem and current condition:
Is any of the above problems aggrevated undesr stress?  Yes   No
Please explain:
Accomodation Group accomodation with up to eight people in one sleeping room, two bathrooms per room, three vegetarian meals included..
Notes to the Centre:
 
Applications are accepted on first come first serve basis. If you do not hear from us, your application was accepted. If we have any further questions we will contact you. Retreat details will be sent once the application process is closed, ten days prior to the retreat.


The full cost of accommodation and food for the retreat is 1,050 kuna. Members of the Center enjoy their usual discounts. Depending on the number of applications, the Center offers two volunteer places. Please e-mail us for details. Price does not include donation for teaching, the amount of which you decide for yourself. The donation is offered at the end of the retreat.


In order for your application to be complete, it is necessary to pay in advance the entire amount for accommodation and food.
Account details:
Budistički centar
Đorđićeva 23
10000 Zagreb, Croatia
IBAN HR73 2484 0081 1030 7459 6
Reference Number 00 - 10-2019
Payment purpose: Meditation for life, retreat 

Bank details for international transfers:
Raiffeisenbank Austria dd
SWIFT RZBHHR2X
Magazinska 69
10000 Zagreb, Croatia


If you cancel up to one month prior to the retreat, we will return the payment in full minus organizing costs. If you cancel up to ten days prior to the retreat we will retain 50% of the payment.  In case of later cancellation or no-show we retain the full payment.
Please have that in mind before you apply. Thank you for your understanding.
 
I have read and understood conditions of this application. All information I have given here is complete and accurate. 

If you experinece problems sending this application please refresh the page, fill out all fields, attach .jpg file and fill the Captha code.