• Hello guest! Welcome to Tipsy Buddha

Meditation Camp Application Form

  • Home
  • Meditation Camp Application Form
Full Name *
Gender *
Male Female Other
DOB *
Address *
City *
State/Province *
Country *
Nationality *
Amount in ($)*
Passport Number *
Date of Issue *
Date of Expiry *
Place of Issue *
Country of Residence *
Home Address *
Postal Code *
Phone Number *
Email Address *
Emergency Contact Information *
Emergency Contact Name *
Relationship to Applicant *
Phone Number *
Email Address *

Camp Details:

Have you attended any meditation camps or retreats before? If yes, please provide details (Name, Date, Duration):
Yes No
Name *
Date *
Duration *
Why are you interested in attending this meditation camp? (Max 200 words)
Are you currently practicing any form of meditation? If yes, please provide details (Type of meditation, Frequency):
Yes No
TYPE OF MEDITATION *
FREQUENCY *
Do you have any physical or mental health conditions that we should be aware of? If yes, please provide details
Yes No
Health Details
Are you currently taking any medication? If yes, please provide details
Yes No
Details
Please describe any dietary restrictions or allergies
Do you have any specific expectations or goals for this meditation camp? (Max 200 words)
Will you require any special accommodations? If yes, please provide details
Yes No
Details

U.S. Citizen: $3300 (Includes accommodation and meals) Non-U.S. Citizen: $33000 (Includes accommodation and meals) Hotel Accommodation (Optional, additional fees apply):

Do you require hotel accommodation? Yes/No
Yes No

Sponsorship Letter (Optional, additional fees apply):

Do you require a sponsorship letter? Yes/No
Yes No

Declaration:

I hereby acknowledge that the information provided above is accurate and complete to the best of my knowledge. I understand that this application does not guarantee my admission to the meditation camp, and the organizers reserve the right to accept or reject applications based on their discretion.

Terms & Condition:

These Terms & Conditions ("Terms") outline the process and requirements for obtaining a visa from the American Embassy for non-Americans. Please read these Terms...View More

Download Form

Upload Profile
Applicant's Signature
Date:

Bring the below mentioned papers at the time of submission of hard copy

1:- Passport Copy 02:- Police Verification 03:- Bussiness Infomation 04:- Latest Pics (Requried)

A:- Bank Statement          

B:- Donation Slip (if you have given donation to any NGO in America then its slip)

You have to send the hard copy with signature to our NGO

Prego Dalliance Sanctuary is
a nonprofit 501(c)(3) providing a
safe haven for unwanted parrots

Prego Dalliance Sanctuary
11693 Kismet Avenue
Lakeview Terrace -California,
USA 91342

Prego Dalliance
Sanctuary

The Booking fee for course is 6660 $


Please note that the fees and additional charges mentioned in the form are placeholders, and you should replace them with the actual fees and charges applicable to your meditation camp.