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香港慧觀禪修會
Hong Kong Insight Meditation Society
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1.
慧談靜修營報名表 Insight Dialogue Retreat Application
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First Name 名
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Last Name 姓
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Email 電郵
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Contact Phone Number 聯絡電話
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Which retreat are you registering for?
Retreat 2: The Generous Gift of Being Mindfully Present 正念臨在的慷慨给予 (2025/12/27 – 2026/01/01)
Retreat 4 (Advanced): Awake Together — The Wisdom of Here and Now (2026/01/10 – 2026/01/15)
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What motivated you to register for this retreat? Please share your intention and/or expectations. 您為何參加這個靜修營？請分享您的意圖和/或期望
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Can you commit to attending the whole retreat? 你能承諾參加整個禪修營，不遲到早退嗎？
Yes 是
No 否
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Emergency Contact Name 緊急聯絡人姓名
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Emergency Contact Phone Number 緊急聯絡人電話
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What is your gender? (Your answer will help us place you in the correct dormitory) 性別（有助我們安排合適的宿舍）
What are your preferred pronouns? 代名詞
She/her 她
He/him 他
They/them 他們
Other 其他
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Meditation Experience: What is your current practice? For how long have you been practicing? What tradition/teachers have you practiced under? 請分享您的禪修經驗（例如年份、方法、傳承等）
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Insight Dialogue Experience: What is your current practice? What ID courses or retreats have you attended? 請分享您的慧談修習經驗
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Retreat Experience: Have you participated in residential meditation retreats of 3 days or longer? 您曾否參加過三日或以上的止語禪修營？
Yes 是
No 否
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Are there conditions in your life that might place you under stress or make meditation difficult for you at this particular time? 正面臨什麼挑戰，讓您難以平静嗎？
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Do you have any history of mental illness or other limitations that might be aggravated by or interfere with sitting, walking, and interpersonal meditation? 有否曾經患過能影響您静修的心理疾病？
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Have you ever had depression, eating disorder, drug/alcohol addiction, anxiety disorder, psychosis, or any other psychological condition? 您是否曾經患有憂鬱症、飲食失調、藥物/酒精成癮、焦慮症、精神病或任何其他心理疾病？
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Are you in therapy? If so, is your therapist aware that you are attending this retreat? 您正在接受心理治療嗎？您的治療師是否知道您參加這次禪修？
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Are you currently taking any medication for physical or psychological conditions? 您目前有否服用藥物，以治療任何身體或心理的狀況？
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Do you have any dietary restrictions or allergies? 您有對任何飲食禁忌或敏感反應嗎？
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Do you have any sleep disorders (e.g. snoring, insomnia)? 您是否有失眠、打鼾或其他睡眠问题？
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Do you have any mobility issues (e.g. struggle to walk up or down stairs or hills)? 您有任何行動不便嗎（例如上落樓梯或斜坡）？
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Are you over 60 years old？(Your answer will help us place you in the correct dormitory）您是否年滿 60 歲?（有助我們安排合適的宿舍
Yes 是
No 否
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2.
Event Policies
Waking up Together 一同覺醒
2025/12 – 2026/01 (various periods 各種時段)
Fa Hong Monastery, Lantau, Hong Kong
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