Retreat Registration and Deposit
Name
Your answer
Phone
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Email Address
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Retreat
Which retreat are 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 or senior?
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?
Registration Fee (This Is Your Non-Refundable Deposit. 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!
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Other Special Needs or Brief Comments:
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