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DZG Sesshin Registration form
Friday 2nd August – Friday 9th August 2019, The theme of this year Seshin is "Joy in Every Moment"

This is a full time residential meditation retreat in a beautiful bush setting just outside of Darwin.

For photos of the retreat site see photo gallery. It is ESSENTIAL to please read the registration guide:

http://www.dzg.org.au/assets/documents/DZG_information_guide_for_sesshin_registration.docx

Name *
Your answer
Surname *
Your answer
Address *
Your answer
Phone number *
Your answer
email *
Your answer
Emergency contact *
Your answer
arrival time *
Time
:
Have you attended a Zen sesshin or any meditation retreat before? (If no please make sure you have spoken to Justine at DZG before you register for the retreat or call 89853781) *
Required
*
Your answer
Do you have any special physical or mental health issues that may affect your ability to participate fully during retreat including with simple chores like chopping and washing up? Please provide details. This information is confidential and is used by the teachers to support you in the retreat - e.g. pregnancy, back pain, stress issues. *
Your answer
Please list any medications you are taking. *
Your answer
Do you have any allergies or special dietary needs? *
Your answer
Do you prefer to use soy or dairy for the duration of the retreat. Choose one option please. *
Required
Do you require gluten free? *
Do you require dorm or will you camp with your own gear? *
Required
Do you need assistance with transport? *
Required
If you require transport, please provide details of time, pick up location and flight details if travelling interstate.
Your answer
Are you able to assist with transporting people or gear to or from the retreat? If yes, how many people can you transport? *
Your answer
Are you able to assist with shopping prior to the retreat? *
Required
Do you require assistance with accommodation before or after the retreat? Or, are you able to assist by providing accommodation? Please provide details.
Your answer
Have you paid the registration fees $400 or $250 concession? (See Instructions on the website dzg.org.au and at the bottom of this form for how to pay) *
Required
I, the undersigned, have read the separate DZG sesshin registration information guide and understand the nature of the retreat. I hereby agree to hold Darwin Zen Group and its members and Teacher, and the Buddhist Society of the Northern Territory not liable for any loss, damage or injury arising directly or indirectly from my participation in this retreat, which may require me to take part in such activities moving equipment or cleaning or leaving my car unattended. I have made sure that I fully understand the nature of a meditation retreat and certify that I am of sound mind and body. *
Required
Note
PLEASE MAKE PAYMENT by 13/07/19 TO DZG BSB 035-302 ACCOUNT 29-7241 AND EMAIL RECEIPT TO darwinzengroup@gmail.com with this completed form to complete your registration and save your place.

PLEASE NOTE THIS IS A NON-SMOKING VENUE. IT IS NOT POSSIBLE TO LEAVE AND SMOKE AND RETURN TO THE VENUE AS THIS DISTURBS OTHERS.

NO DRUGS, ALCOHOL, OTHER INTOXICANTS, SPIRITUAL ICONS SHOULD BE BROUGHT TO THE SITE PLEASE.

Our Sesshin takes up the way of nurturing life Lite soy milk is offered unless you request dairy tick box.

Our Sesshin takes up the way of not clouding the mind and not stealing from self and others and we invite you to leave all screens behind and bring watches and alarms if needed.

The invitation is to trust in the support of the time keeper.

For those who would like to bring their phones for a variety of reason e.g. to stay in touch with children etc they are invited to leave their phone with a Zendo support member during Sesshin and only use it when required if this suits their practice.

Family and friends can have the Sesshin emergency contact details above.


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