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Nitartha Institute's New 9 Day Program  

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Nitartha Institute 9 Day Program Application

1. Contact Information

Name:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone:
Email:

2. Accomodations:

1) I am from out of town and will be staying at:

A) The Marco Polo

B) Extended Stay

C) Elsewhere

2) I am from Seattle

I can offer accomodations for people in my home.

3) I will be able to offer a ride to people from Extended Stay Motel

3. Prior Attendance

Have you attended Nitartha Institute before?

yes (skip to section 7)

no

4. Prior Studies (if no prior attendance)

How long have you been practicing Buddhist meditation?
What is your current center of affiliation and teacher?
What is your main practice?
Describe briefly Buddhist studies you have completed.
How did you hear about Nitartha Institute?
Please tell us why you would like to attend.

5. Volunteer skills

Do you have experience as a personal attendant or server for visiting teachers?

yes
no

Please give a brief description:
Do you have other skills you'd like to contribute that might be useful to the Institute (example: editing, cooking, organizational, etc.)?

6. Dietary Needs

I do not wish to participate in the meal plan ($100 deduction). I understand this is not recommended due to time constraints.

Are you vegetarian?

yes
no

Do you have any other dietary or other needs that we need to know about?

7. Transportation

I will be arriving by Car
Bus
Train
Air

A) Airline & flight no. (if known)
B) Arrival Time
C) Departure time

8. Deadline and Deposit

Application deadline: Feb 28.

Deposit due upon submission of application: $225

You can pay online by credit card when you submit this application, or send a check made out to Nitartha Institute to:

Nitartha Institute Registration
c/o Larissa Wilson
P.O. Box 7415
Bellevue,  WA  98008

For registration questions please contact registration@nitarthainstitute.org

Deposit is fully refundable until Feb 28. Unfortunately, we cannot refund after that date

Thank you for your interest in Nitartha Institute.



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