Name: Halfday Meditation Retreat w/ Rev. Hogetsu Laurie Belzer
Start: 2022-03-27T08:00:00-05:00
End: 2022-03-27T12:30:00-05:00
Location: Ebenezer Lutheran Church

Name*

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Mailing Address*

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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
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Halfday Meditation Retreat w/ Rev. Hogetsu Laurie Belzer

Sunday March 27, 2022 @ 8:00 am - 12:30 pm

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

Details

Venue