Application Form of 1-Day Retreat by Gilbert Gutierrez
You are registering for the 1-Day Retreat led by Gilbert Gutierrez,
a Dharma heir of Chan Master Sheng Yen.
Please filled out the application form correctly.

Date: Saturday, October 26, 10a.m. - 5p.m., 2013 (noon - 2p.m., lunch break)
Check-in: 9a.m. - 9:45a.m.
Open to all.  Donation to help cover the expenses is requested.
Thank you for joining us in growing a peaceful and joyful community.

Lansing Buddhist Association
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Emergency Contact Name and Phone Number
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Do you have a medical condition that needs attention?
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By checking the following box, I agree to relieve Lansing Buddhist Association from all liabilities in the event of any injury or illness incurred while I am on the retreat center property.
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