JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Day of Meditation - August 19, 2017
A day of silence and reflection enjoying the beauty of Deer Park Buddhist Center near Oregon, WI.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Do you plan on attending Sat. August 19th?
*
Please submit a separate registration form for EACH ATTENDEE.
YES, I plan to attend
YES, I plan to attend and tell a friend(s)
NO, but I would like to be added to the email list for next time
Other:
First Name
*
Your answer
Last Name
*
Your answer
Mailing Address
*
Street address, City, State and ZIP
Your answer
Email Address
*
Be sure to double check for accuracy.
Your answer
How do you choose to offer the suggested donation of $30?
*
No one will be turned away if unable to pay. Scholarships are available.
I will use the Pay Pal link
http://www.deerparkcenter.org/NewFiles/con_dp.html
I will mail my check to Deer Park, 4548 Schnieder Dr, Oregon, WI 53575. Please note "Day of Meditation" in the memo field.
I will offer the day of the event
I am requesting a scholarship
Other:
Would you like to offer service in support of this event?
Sign up at registration desk on the morning of event for to select a 15 minute task to help with set-up or clean-up.
YES, I prefer to serve before the event
YES, I prefer to serve after the event
Maybe, please let me know more information
Other:
Clear selection
Enter questions or comments below.
Please allow 2-3 days for a response. Thank you for your patience.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
