Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

What days will you attend? *

Oct 2, Monday (Evening)

Oct 3, Tuesday

Oct 4, Wednesday

Oct 5, Thursday

Oct 6, Friday

Oct 7, Saturday

Oct 8, Sunday (morning)

Will you need overnight accommodations? *

Yes

No

Will you need a chair? *

Yes

No

Will you need Oryoki Instruction? *

Oryoki is the zen style of serving and and eating meals. If you need instruction or would like to polish your Oryoki choreography, please check the yes box.

Yes

No

Do you need an Oryoki set? *

Yes

No