Registration for Zazenkai 5 December with Ross Bolleter Roshi
Please fill in all required questions and tick the declaration statement box at the end.

Please complete your registration by Thursday 3rd December.
To touch the Mind, to settle the Mind, to convey the Mind.
Venue: St Paul's Church Hall Beaconsfield Time: 10am - 6pm
The Zazenkai schedule includes opening words by the teacher, Zazen, dokusan, chanting and a Dharma talk.

Lunch is not being provided this Zazenkai so please bring your own. There is a fridge in the kitchen, where you can store your lunch.

Part-time attendance is possible for those unable to attend the full Zazenkai. Please contact the coordinator if you are attending part time.

Coordinator: Andrea Donohue Email: donohues@iinet.net.au Mob:0415913144
Name *
Email address *
Mobile number *
Emergency contact name *
Emergency contact number *
Do you need a Chair? *
If you have a medical or psychiatric issue that can affect you, please provide the details here.
Full time or Part time? (If part time the Jisha or coordinator may contact you to confirm details.) *
If part time, please give the period of the day you'll be coming.
My payment is *
ZGWA Bank Details
BSB 126-568
Account 43331663
Provide your surname in 'description'.

Please consider a Dana donation if you are able.
Mandatory Declaration
Warning: Zazenkai can be physically and emotionally challenging. We recommend you read ‘Taking the Path of Zen’ by Robert Aitken Roshi and practice sitting at home and during our regular Thursday evening sitting before you commit to the much longer periods of sitting Zazenkai. This is to ensure you’re familiar with the hours of meditation, postures, silence, and scheduled events. Please wear comfortable black and/or plain clothing to the Zazenkai. Leaders are available to answer questions during the Zazenkai.

Zazenkai provides an opportunity to have an interview with the teacher in Dokusan. Some walks and exercise may be included. Except where Zazenkai is run online, there will be voluntary jobs assigned, for example in the kitchen. If you have a pre-existing condition that prevents you from taking on a job, please indicate this above and advise one of the leaders. We ask you to take responsibility for your own well being and general health. If you are not well or have an accident please inform a leader or the teacher promptly.
Statement: I have read the warning above. I agree that the Zen Group of Western Australia Inc. and its councillors, members and appointed representatives will not be liable for any loss, damage or injury arising directly or indirectly from my participation in this event or its production, which may include my performance of voluntary services. I am aware of the nature of this event, the extent of my participation and its requirements of me. *
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