Name *

First Name

Last Name

Phone *

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Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number *

(###)

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What days will you attend? *

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday (morning)

Will you need overnight accommodations? *

Please be aware that private accommodations are rare during sesshin and may not be available. We appreciate your understanding.

Yes

No

Will you need a chair for meditation? *

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 skills, please check Yes.

Yes

No

Will you need an Oryoki set? *

Jikoji can provide you with a full Oryoki set for use during sesshin. There are no additional fees for this. If you will need an Oryoki set, please check Yes.

Yes

No