CHILDRENīS COURSE APPLICATION FORM
* I would like to participate in the Children's Anapana Meditation Course from dt:_________ to dt:___________ at _________________________________________.
* I undertake to observe five precepts, namely, practicing abstention from killing, stealing, lying, sexual misconduct and use of intoxicants. I undertake to abide by the course Timetable and discipline.
* I also agree to stay for the entire duration of the course
FULL NAME :
GIRL/BOY : AGE:
FULL ADDRESS :
PHONE NOS :
ANY PHYSICAL AILMENTS:
ANY MENTAL AILMENTS:
ANY MEDICATION :
ANY OTHER TYPE OF MEDITATION PRACTICED BEFORE :
IF YOU ARE AN OLD STUDENT (Have you attended any Anapana courses in the past?)
TOTAL NO OF COURSES:
ARE YOU PRACTICING DAILY: