Registration – Vajrasattva Retreat with Khenpo Tenzin Norgay Rinpoche – May 4 to 5

E-Transfer Payment Registration

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Name(Required)

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Email(Required)

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Phone(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Do you have any food allergies or medical conditions that we should be aware of?(Required)

Yes

If your answer is Yes, a field will appear where you can list all relevant details.

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Dates Attending(Required)

May 4 - 5

Sat. May 4

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Dharma Conduct(Required)

I have read the Dharma conduct rules and agree to abide by them while attending this event.

Waiver(Required)

I voluntarily agree to sign a release and waiver confirming that I am responsible for my own personal, physical, and emotional well-being during this retreat. I shall not hold The Palyul Foundation of Canada, Orgyan Osal Cho Dzong, the Teachers of Orgyan Osal Cho Dzong, the Palyul Foundation of Canada Board of Directors, the property owners, or any of their agents, representatives, or volunteers responsible for any damage to me or my property.