Name: All-Day Meditation Retreat With Hogetsu Laurie Belzer: Celebrating Zazen
Start: 2023-02-12T07:30:00-06:00
End: 2023-02-12T17:30:00-06:00
Location: Lincoln Square Zendo

Name*

First Last

Email*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Which event are you registering for?

Will you be attending in person or online?

In Person - I have been fully vaccinated for COVID-19 and understand that full vaccination for COVID-19 is a requirement for attendance.
Online

Which portion of the event are you planning to attend?

Full Event
Partial Attendance

If partial attendance, please list the dates and times that you plan to attend:

Do you have formal meditation experience practicing with a Zen group/sangha?

No
Yes, with Ancient Dragon Zen Gate
Yes, with another sangha/group

What roles have you held at Ancient Dragon?

Select all that apply.

Doan
Kokyo
Greeter
Jisha
Tenzo
Assistant Tenzo
Meal Server

Do you have an oryoki set?

Yes
No

Will you use a chair for any part of the in-person meditation event?

Yes
No

Do you have any dietary restrictions/allergies?

Do you require any special needs/accommodations?

How would you like to pay?*

Credit Card
Mail A Check

Once you have submitted this form, we will email you specific instructions for mailing your check.

Donation Amount*

Keep in touch?

Yes, please make sure I'm on the Ancient Dragon Zen Gate email list

Hidden

Event Page

Name

This field is for validation purposes and should be left unchanged.

All-Day Meditation Retreat With Hogetsu Laurie Belzer: Celebrating Zazen

Sunday February 12, 2023 @ 7:30 am - 5:30 pm

Once you have submitted this form, we will email you specific instructions for mailing your check.

Details

Venue