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Contact us
1726 S. Olive St., Bloomington, IN 47401
Event Registration
*
Indicates required field
Please register me for the following event:
*
Precepts Retreat (July 4 - 9)
Beyond the Basics: Deepening Our Practice (July 14)
Women's Retreat (July 27 - 29)
Sesshin (September 6 - 9)
One-Day Sitting (October 20)
Genzo-e (November 7 - 12)
Rohatsu Sesshin (Nov 30 - Dec 8)
Sesshin (January `10 - 13)
Sesshin (March 7 - 10)
Introduction to Sesshin (March 23)
Genzo-e Retreat (May 1 - 6)
Sesshin (May 29 June 3)
Dates I will attend:
*
I will be coming from out of town.
*
Yes
No (Skip to next section)
Date and time I will arrive at Sanshin:
*
Date and time I will depart Sanshin:
*
I will stay:
*
In Sanshin's dorm; I've made my reservation and payment
In Sanshin's zendo with my own bedding
In my own tent on Sanshin grounds
I will make my own arrangements to stay elsewhere.
If staying in the dorm:
*
Men's sleeping room
Women's sleeping room
I have the following medically necessary dietary restrictions:
*
None
Gluten
Dairy
Soy
Peanuts
Other dietary issues:
*
Please note that we may not be able to accommodate all dietary restrictions. If you are concerned about your ability to eat what is served to everyone, you are welcome to bring and prepare your own meals.
In case of emergency, contact:
*
Name: Telephone:
Name
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First
Last
Email
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Phone Number
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Address
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