Last Name: ______
Deer Park 2017 Summer Program
Monday, July 3rd through Friday, August 4th
Registration Form (Please Type or Print LEGIBLY)
Suggestion: To make computer entry of data easier, for PCs press the INSERT key before typing. For MACs, go to "Preferences" in Word, Select "Edit", Select "Over Type Mode"
*Please submit one form per person
Full Name: ______
Sangha Only: Ordained Nun: __ Ordained Monk: __ Date or Year of ordination: ______
Mailing Address: ______
LEGIBLE Email Address: ______Phone: ______(Cell if you have)
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Is this your first time attending a Deer Park Summer Course? Yes ___ No ____
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Please Indicate Which Course(s) You Plan to Attend. If not fulltime, please enter the part-time dates.
Three Principal Aspects of the Path July 3 - 14 Fulltime __ Part-time (enter dates) ______to ______
Praise to Dependent Origination July 17 - 28 Fulltime __ Part-time (enter dates) ______to ______
Suhrillekha, Letter to a Friend July 31 - August 4 Fulltime __ Part-time (enter dates) ______to ______
*** Please note that classes are only held on weekdays with the possible addition of Saturday, July 8.
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Donations*: (No deposit or prepayment is required – this section can be completed on arrival at Final Registration)
Donation for Course(s) ______(suggested donation: $31/day which includes a full lunch)
Donation for Sangha: ______(to help cover costs for housing at Deer Park)
Other: ______Purpose: ______
TOTAL ______
* No one is refused for inability to pay
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Attendance at summer courses is subject to approval by Deer Park Buddhist Center.
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To help with planning, please register early by completing and either mailing or emailing the registration form.
Mail to: Deer Park Buddhist Center Email:
Summer Course Registration
4548 Schneider Drive
Oregon, WI 53575
Please let us know as soon as possible if you register but then are not able to attend.
THANK YOU!