2010 Summer Dharma Retreat Junior Camp Application
Please read the following announcement and important information carefully before you fill out this form.
Important Information:
- This application should be filled out by a parent or guardian. The parent or guardian must accompany the junior camper arriving and departing the camp. The parent or guardian must attend one of the adult programs of the retreat while the junior camper is on site..
- The junior camper must be between the ages of 8 and 12. Please fill out a separate application for each applicant.
- The junior camper must be independent (brush teeth, take a bath, sleep routine daily living). The junior camper should need no help from the parent/guardian. Please do not apply if otherwise.
- Please bring the camper's insurance cards, toiletries, sleeping bag and clothes. Please follow the “
Dress Code for Campers
" below.
- If a camper violates a camp rule, disrupts order, or disturbs the public, the camp reserves the right to request the camper’s immediate departure.
- Please do not bring non-vegetarian food, cigarettes, radio, mobile toys, or precious goods.
- Accommodations are limited to 20 junior campers. Therefore, PLEASE complete and submit the application promptly.
- If you have questions, please email us at
request@yinshun.org
or leave a voice message at (732) 549-7441.
- The check-in time is 3:00–7:00 pm, July 2. Please present to the staff at the check-in counter the signed
Parent Consent Form
, the signed
Medical Form
, the camper’s insurance cards and, if applicable, any immigration documents.
Dress Code for Campers
Buddhists generally dress and behave modestly. Therefore, we ask our participants to respect tradition and dress accordingly. It is preferred that boys wear long pants and a clean short-sleeved shirt; girls should wear either pants or a long skirt, and their shoulders should not be exposed. Should summer temperatures become uncomfortable, shorts are acceptable so long as the hem does not reach above the knees. In all cases, Bermuda shorts, miniskirts, bare midriffs and tank tops are not considered proper attire. We highly recommend against wearing flip-flops or slippers as such footwear tends to provide little support for the ankles and traction and this may result in injury during physical activities. We ask that all facial jewelry be removed while on the monastery grounds. Lastly, please avoid any clothing that includes any reference to violence, sex, or drugs. We greatly appreciate your understanding and cooperation.
*
Required field
Guardian
The guardian must attend one of the adult programs of the retreat while the junior camper is on site.
Guardian First Name:
*
Guardian Last Name:
*
Relationship with camper:
*
father
mother
other:
Registration ID for the adult program of retreat:
*
(Your ID is sent to you with the confirmation email for your adult program registration.)
Email used for registering the adult retreat program
*
Camper information
The junior camper must be between the ages of 8 and 12. Please read the information at the top of this form.
Camper First Name:
*
Camper Last Name:
*
Date of birth:
*
Please use this format: yyyy/mm/dd
Gender:
*
-select-
Boy
Girl
Street Address:
*
City:
*
State or country:
*
Zip code:
*
Camper's email (optional):
Food and other allergies
*
None
Milk
Peanut
Walnut
Cashew
Soy
Wheat
Latex
Other:
Hobbies and talents (please check all applied):
Arts & Crafts
Drawing/painting
Sewing/costuming
Photography
Thank-you card design
Computer
Video/movie editing
Web/graphic/poster design
Newsletter writing
Hospitality
Cooking
Baking
Delivering food
Table decoration
Activities
Sports
Meditation
Taichi
Gym
Musci
Singing
Playing instruments
Song writing
Performance
Acting
Dancing
Directing
Playwriting
Public speaking
Set design
Sign language
Other (please specify)
Other:
Retreat registration:
Attendance period:
*
We will attend the entire retreat.
We will only attend the following dates: (mm/dd)
Lodging: We will check in on this date:
*
Please use the format, mm/dd. (Standard check-in is 07/02, 3-7 p.m. Type in "none" for no lodging.)
Lodging: We will check out on this date:
*
Please use the format, mm/dd. (Standard check-out is 07/05, 1-4 p.m. Type in "none" for no lodging.)
Transportation (optional) -- airline/flight number/arrival time:
Answer this only if camper and guardian will fly in to Newark Airport (EWR) on July 2, between 1 and 5 p.m. and if they need transportation from Newark Airport to Bodhi Monastery.
Transportation (optional) -- airline/flight number/departure time:
Answer this only if camper and guardian will fly out from Newark Airport (EWR) on
July 9
, after 5 p.m. and if they need transportation from Bodhi Monastery to Newark Airport.
Disclaimer and Consent
By submitting this application, guardian accepts full responsibility for the minor’s health and safety and the safeguard of material possessions during his/her stay at Bodhi Monastery. Neither Bodhi Monastery nor the Yin-Shun Foundation assumes any legal responsibility for any of the camper’s losses incurred during the Dharma Retreat.
*
Accept
Please download and print out the
Parent Consent Form
, sign it, and present it at the time of checking in to the camp.
*
We will bring the signed Parent Consent Form to the camp.
Please download and print out the
Medical Form
, sign it, and present it at the time of checking in to the camp.
*
We will bring the signed Medical Form to the camp.