Retreat Registration and Deposit
Name *
Your answer
Phone *
Your answer
Email Address *
Your answer
Retreat *
Which retreat are you registering for?
When will you be entering the retreat MM/DD/YY (required)? *
MM
/
DD
/
YYYY
When will you be exiting the retreat MM/DD/YY (required)? *
MM
/
DD
/
YYYY
Please indicate your previous retreat experience, if any: *
Kwan Um School of Zen is abbreviated: KUSZ
Required
What precepts have you taken? *
Gender *
Are you a member of the Kwan Um School of Zen? *
Are you a full-time student, senior citizen (over 65) or clergy member? *
Do you have any dietary needs? *
If YES, please give details for our cooks to follow.
Your answer
If you are registering for an overnight retreat - do you snore?
Non-Refundable Registration Fee (Your Balance Is Due Upon Arrival at Retreat)
Providence Zen Center requires a $15.00 registration fee for all retreats. Please copy this link before you click the submit button and paste it into a new browser window or tab. https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=9VFJCJBMQDRFJ Don't forget to press the submit button on this page after paying the registration fee. Thank you!
Your answer
Other Special Needs or Brief Comments:
Your answer
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