加拿大靈巖山寺傳授在家三皈五戒菩薩戒報名表/Lingyen Mountain Temple (Canada) Precepts Transmission Ceremony Registration Form

Separator1
Separator3

出生地/Birth Place

Separator4
Separator5
Separator6
Separator9
Separator14
Separator10

皈依寺院或地點/Place of Taking Refuge

Separator11

身高/Height

Separator15

體重/Weight

Separator12

身體特殊狀況/Physical Condition

Separator13
Separator2

緊急聯絡人/Emergency Contact