Sesshin Profile
Please fill out the form below. Responses will be private to the Reverends, Retreat Leadership (coordinator, cook, etc.), and Leadership Council. Specific information will be distributed to other members of the community and retreat participants as needed in the normal course of running the retreat.
Full Name *
Your answer
Dharma Name
Your answer
Phone *
Your answer
Email *
Your answer
Emergency Contact *
Name
Your answer
Emergency Contact *
Phone
Your answer
Allergies & Conditions
Food, bees, other allergies. Note if you require medicine in case of emergencies, such as an epipen. Note any physical conditions.
Your answer
Meal Preference
The food we serve is vegetarian though not vegan. Please indicate if you need a vegan or gluten free meal.
Sleeping Preference *
Check all that apply.
Required
Sleeping Preference - Additional Notes
Please add any additional notes about sleeping such as: breathing machines, snoring, sleep walking, etc.
Your answer
Practice - Additional Notes
Note if you have any other needs during regular zazen practice.
Your answer
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