Please print and complete this form and bring it to retreat. We also ask that you email Debbie Thomas at dltariki@comcast.net to inform her of your intentions in order that we may better plan for your attendance.
If you are paying through PayPal, please do so by midnight Wednesday, October 12.
If you are paying with a check, please print and complete this form and bring it with your check to the registration table at the retreat.
Members receive a 10% discount at all PBC retreats nationwide. If you desire to become a member before the retreat, see below.
Suggested Donation _____NonMembers: $65 _____PBC Supporting Members: $50
_____College students & children under 18: $25
Please make checks payable to PBC.
Your donation is 100% tax deductible and greatly appreciated.
I am a supporting PBC member according to the national policy.
HOLD
HARMLESS AGREEMENT
Participation
in any PBC activities and/or use of any PBC facilities, including but
not limited to Padma Gochen Ling, involves a risk of accidental injury
despite all safety precautions. I/We, assume all risks and release from
responsibility and agree to indemnify and hold harmless the Padmasambhava
Buddhist Center, Padma Gochen Ling, their officers, directors, volunteers
and members, for any illness or injury to the individual(s) listed above,
occurring during use of any facilities or participation in any activities
conducted by the Padmasambhava Buddhist Center of Tennessee.
Signature(s):
______________________________________________
______________________________________________
Date:_______________
PBC SUPPORTING MEMBERSHIP Please note that the 10% member discount applies only to those who are currently committed to monthly or yearly memberships at any of the Padmasambhava Buddhist centers. Memberships are a vital component of the functioning of our centers. Suggested membership is $25/month or $40 per family.
If you wish to become a member, click here. We encourage all to join us as members and suport the Buddha, Dharma, and our Rinpoches.