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Ten-day Vipassana Meditation Course
Jan 9th - Jan 19th, 2026
at 54 Cessnock Rd, Sunshine NSW 2264 with Dr Mark Peterson
Student Details
Date of Birth*
Gender
Male
Female
Do you understand English well?*
Yes
No
Contact Details
Emergency Contact Details
Meditation Experience
Have you attended courses in the Sayagyi U Ba Khin Tradition before?*
Yes
No
Are you practising any other techniques of meditation?*
Yes
No
Medical Details
Are you in good physical and mental health?*
Yes
No
Are you, or will you be, on any medical treatment at the time of the meditation course?*
Yes
No
Do you suffer from any medically confirmed food allergies?*
Yes
No
Please note
: only medically confirmed allergies will be recorded.
Course Enrolment
No. of Participants
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