Event registration - Sanshin Zen Community

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1726 S. Olive St., Bloomington, IN 47401

Event Registration

Once you submit your registration, we'll be counting on your attendance and complete participation in every day for which you've signed up. Leaving early on the final day is strongly discouraged. If your plans change, please notify us immediately rather than simply failing to show up. Being a mysteriously missing registrant creates headaches for practice leaders and denies waitlisted others the chance to participate.

* Indicates required field

Name *

First

Last

Phone number *

My email *

Please register me for the following event: *

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: Email

HIs/her email *

HIs/her phone number *

My address *

Line 1

Line 2

City

State

Zip Code

Country

Submit

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