Application Form

Please note we do not offer personal retreats. We suggest gaiahouse.co.uk.

If you have not read the How to Book page, please do so before filling out the form: How to Book

N.B. After you click Send, you should see this green message : Your message was sent successfully. Thanks. If you don't see this message you haven't filled out the form correctly and it will not be sent. Please review.

At the moment some forms do not come through. If you have not received an invoice from Paypal within three days, please email Marion: info@satipanya.org.uk. She will email you an Application form. Apologies for any inconvenience.

Privacy Notice:  All application forms are binned after use, therefore, it is necessary to fill out the form again completely.
Bit of a chore for those who have been here before, but can't be helped. Patience!

Please!!! Fill in all fields.

Many thanks.

Application

Please indicate which retreat you wish to book for.

Name of retreat

Dates you wish to attend (you may have to adjust dates for retreats longer than one week.)

Please Note: This retreat is being offered for attendance at Satipanya only. If it is not possible to run the retreat at Satipanya, then it will be cancelled.

Please Note: This retreat is being offered online only.

This retreat is being offered for attendance at Satipanya.

Do you wish to follow the course online or attend in-person at Satipanya?
OnlineIn-Person

If we are unable to offer a residential place, would you like to follow online?
YesNo

About You

Forename

Surname

Country

Region

Email

Contact Tel.

Gender
MaleFemaleOther

Age

Emergency Contact

Name

Tel.

Retreat / Meditation Experience

Have you attended a full week's Mahasi meditation course led by Bh.Bodhidhamma, Noirin Sheahan, or Carl Fooks?
YesNo

Please say with whom and how long ago.

Have you practised any form of meditation?
YesNo

Please give some indication of the practises and with whom.

Diet & Health

Please note the diet is vegan. You can see the recipes here. Please read these to see if our diet would be suitable for you.

We can usually only deal with common intolerances such as gluten. Do you have a dietary allergy or intolerance that you think we might be able to cater for?
YesNo

Please provide specific details

Do you have any physical disabilities we need to be aware of? Please note that our facilities are not suited for severe disabilities.
YesNo

Please provide specific details

Have you a serious medical condition, suffered from a mental illness, or attempted suicide?
YesNo

Please email the relevant teacher either to describe your condition or to ask them to phone you. You need to do this as soon as you apply for a course.

Teacher Email Links:

All information is strictly confidential.

If you are particularly concerned with confidentiality, it is best to phone. The teacher will give you their phone number once you contact them by email.

Assisting

You MUST have attended at least one weeklong retreat at Satipanya or another Buddhist centre in order to be eligible to apply to assist. Please read about the duties of the resident assistant before applying.

As the resident assistant for a retreat, we do not expect payment of the deposit or offer of a donation because you have kindly offered your time. However, any further dāna by you is always very welcome.

Please note: Your commitment is essential, for the course would be very difficult to run without an assistant and may indeed have to be cancelled.

When there is no assistant, if possible, these duties are shared among the retreatants. For more info. see Service at Satipanya.

Do you have previous residential retreat experience, have read and understood the duties, and want to come as the Assistant?
YesNo

Other Details

If travelling by car, are you able to offer a lift to other retreatants?
YesNo

Is this your first visit?
YesNo

Please tell us how you came to hear about us
Word of mouthSaw a teacher at a different locationGoogle search/websiteOther

Would you like to receive our monthly Newsbyte? This keeps you up to date with events at Satipanya, changes in the Calendar, and also has a Tip o' the Day to help with daily practice.

Yes, please subscribe me to the monthly Newsbyte!

I have read and accept the Code of Conduct and all other information on the How to Book page and agree to abide by it while at Satipanya.

I have read how the centre is financed by donations save only for the non-refundable deposit fee of £10 a day for residential retreats to cover basic costs.

I understand that my place on residential courses will not be confirmed until the deposit has been received. (You will receive an invoice from Paypal. Please remember this is not refundable unless we have to cancel the course.)

I confirm that I have read and agree to all the above statements.

For any further information or questions, please email Marion.

Many thanks.