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Orlando Zen Center YMJJ / January 18-19 2020
with Alma Potter, JDPSN
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First Name *
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Last Name *
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Phone Number *
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Address *
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Registrant Type *
If not a member of KUSZ, do you have previous retreat experience (have sat a Long Sit with us, practice in another tradition, etc.)?
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Arrival Time/ How much of the Retreat are you attending? *
Sleeping Arrangements *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Please enter any additional comments, concerns or dietary restrictions
For example, the menu is vegetarian but you may have a special dietary requirement.
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