ROHATSU REGISTRATION FORM

Please complete the information below and drop it off at the Zen house or email it back to Susan or Dean.  Bring your own lunches on Saturday and Sunday, but a vegetarian dinner Saturday night is included. Drinks and tea breaks will be provided by the two sanghas. Suggested donation for in-person participation is $50 for Saturday, $25 for Sunday. Fee for online participants is $25. There is limited availability to stay overnight in the Zen house BUT, you must bring your own air mattress/sleeping bag, linens, etc. Charge is $50 payable to 1813 Wilton LLC.  If you have questions about the schedule or your readiness to participate, please call and talk with us. You may arrange to come for all or part of the day, but seating is limited (maximum 18 in-person) so please register as soon as possible. Private Instruction and/or dokusan will be offered. 
PLEASE PRINT CLEARLY:
 
Name_______________________________________________
 
Address_____________________________________________
 
Cellphone Number __________.          Email Address__________________________________
 
Emergency Contact Person: (name, phone number, relationship)
 

Please note any physical conditions or medications that we should know about that might impact your participation in the all-day sitting? (diabetes, heart condition, etc.) 
 
Please check the following dietary restrictions: 
________vegan       _______gluten-free      _______other food allergies?
 
TENTATIVE SCHEDULE  (Sunday goes just until about 3:00)
8:30 a.m.-9:40 Zazen and Kinhin
9:40-9:50 Chanting Service
9:50-10:50 Dharma Talk
10:50-11:00 Break 
11:00-12:10 Zazen and Kinhin
12:10-1:00 Lunch
1:00-2:10 Work Period/Outdoor walking or exercise
2:10-2:30 Break
2:30-3:40 Zazen and Kinhin
3:40-3:50 Break
3:50-4:50 Dharma Talk
4:50-5:00 Break
5:00-6:10 Zazen and Kinhin
6:10-7:10 Dinner
7:10-8:30 Zazen and Kinhin
8:30 Refuges 
 
Will you be participating all day _____Yes.    _____No. If not, which sections will you attend?