2015 Practice Period Registration Form

Name *
Name
Phone
Phone
Address
Address
In a few words, tell us about what motivates you to join the practice period. What is your experience with zen and what are you looking for in the practice period. What is your schedule like and how basically do you feel able to participate. Be sure to include a few words about any challenges you may face and how we might support you.
Commitment to do specific practices at Jikoji during the practice period
Please select from the list below of usual practice period activities that you can commit to. This commitment will help connect you with the community and invigorate the energy of practice.
Connecting with Jikoji from home
Most of what you do takes place away from Jikoji. Please select any of these items which are suggested as a means to support you where you are.
Please describe your personal practice commitment while at home and work.