Zazenkai Registration In Person Or Via Zoom

Zazenkai Registration attendance

Please complete the following form to register to attend in person or via zoom. Please note this form is also used for wkd sesshins.

Are you attending online or in person?

Please register using your full name, rather than your initials.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

E-mail

Contact person and phone number in case of an emergency

Meditation Experience

Please state months or years of meditation practice and sesshins or meditation intensives you have attended.

Medical or mental health problems

Do you have any medical or mental health problems that may affect your ability to do zazenkai?

Dietary requirements

Do you have any food allergies or intolerances that may affect your ability to do zazenkai?

Payment

Full Fee: $20

Student/Concession: $10

Payments for zazenkai need to be made online only and paid with the submission of this application.

Payments are made via a bank transfer using the following details:

Account Name: Geoffrey Kenneth Dawson
BSB Number: 732099
Account Number: 740247

Please include your name as the reference