The information you provide on this form is for the monastery’s purposes only, and will not be shared outside of the monastic community without your permission.

Name *
Name
Gender *
(For purposes of accommodation assignment.)
Home Address *
Home Address
Phone *
Phone
Your phone number
Emergency Contact Details *
Emergency Contact Details
Please provide details for someone we can contact in case of emergency. Emergency Contact Person's Name:
Emergency Contact Person's Phone Number
If required, can this person arrange for your transportation back from the monastery?
Will you have health insurance coverage for the duration of your stay? *
Have you read through the document: “Information for Guests Staying at Temple Forest Monastery”?
Please bear with us as we ask for the following information – it will help us in our responsibilities to you and to our community. Thank you!
Do you have any history of mental illness or disorders? *
Are you currently taking any medications? *
If so, please describe where, when, and for how long.