2019百日禪(四之三)十一月30日禪
2019/11/01-12/01
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真實中文姓名 *
真實英文姓名(Full Name) *
Please enter your English name, if your official name is not Chinese.
性別(Gender) *
出生年次(西元年)(Birth Year) *
連絡電話(Phone) *
Email *
地址(Address) *
學歷(Education) *
職業(Occupation) *
專長(Specialty) *
推薦人 *
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是否願意擔任法工? Do you want to be a volunteer ?
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另外網路連絡方式
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簡述學佛與禪修經歷 *
Brief description of Buddhist and meditation experiences
禪修期間,需為自己身心健康與精神狀況負完全責任
During meditation, you are solely responsible for your physical and mental health and mental health.
身心健康與精神狀況 Physical and mental health and mental condition *
請誠實表達 Please honestly express
身心狀況,需要事先告知主辦單位的是:
The physical and mental condition, you need to inform the organizer in advance:
同意聲明(請逐項勾選) *
Required
緊急連絡人 *
緊急連絡人電話 *
與緊急連絡人的關係 *
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