Retreat Registration Form

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Dates: Thursday, January 26, 8 pm to Sunday, January 29, Noon, 2017

Location: Bo Hyun Sa Temple, 7110 SW 182nd Way, Southwest Ranches, FL 33331

Thank you for your interest in the retreat. Please contact us at southfloridazengroup@gmail.com with any questions. Orientation on Thursday night at 8 pm is mandatory if this is your first retreat with us. Retreat starts at 4:30 am on Friday, January 27.

Name *

Email Address *

Phone (preferably cell phone) *

Gender

Female

Male

Clear selection

Previous Retreat Experience, if any *

Kwan Um School of Zen Kyol Che

South Florida Zen Group YMJJ

Other:

Required

Short Answer on Retreat Experience if needed

What precepts have you taken, if any? *

Five

Dharma Teacher in Training

Dharma Teacher

Senior Dharma Teacher

Bodhisattva Teacher

Monastic

None

Other Lineage

Are you a member in good standing of the Kwan Um School of Zen (KUSZ)? *

Yes

Which days will you attend? Cost is $55 per day for non-members, $40 per day for KUSZ members, and $30 per day for Dharma Teachers. Full retreat cost is $140 for non-members, $100 for KUSZ members and $75 for Dharma Teachers. *

Friday, January 27

Saturday, January 28

Sunday, January 28

Required

Will you be sleeping at the temple?

Yes

Clear selection

Any special notes about arrival or departure times?

Do you have any dietary restrictions or allergies we need to be aware of? *

Yes

If YES, please explain your situation.

Please explain any other special circumstances you might have.

Submit

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