Still Mind Zendo
Registration Form for Weekend Retreat
at The Garrison Institute, Garrison. N.Y.

Please mail registration form and full payment or leave in Sesshin Box at zendo
        Still Mind Zendo, 37 W. 17th St.,
        Attention: Sesshin
        New York, N.Y. 10011
        Checks payable to: Still Mind Zendo

PLEASE PRINT CLEARLY

NAME:______________________________________________________________________

ADDRESS:___________________________________________________________________

____________________________________________________ZIP:_____________________

EMAIL:______________________________________________________________________

PHONE:(DAY)__________________________(EVE):________________________________

CELL:_________________________________

I would like to register for the retreat of:

_______March 1-3, 2013



_______I enclose the full amount of the retreat. (Please CIRCLE your choice below):
              $210 for members $225 for non-members (double room)
              $240 for member $255 for non-members (single room)
              $180 for members $195 for non-members (triple or quad)

Are you interested in the Zen for Beginners component? __________

_______I need financial assistance on the cost of a triple/quad.

Please let us know briefly why you need this. ______________________________________

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Zabutons (thick ones) and zafus and chairs provided by The Garrison Institute.

If you sit on a seiza bench, it would help us out if you could bring your own but…
______I am unable to bring a seiza bench. Please provide one for me.

Estimated time of arrival: Any time after 3pm/dinner 6pm. ________________________________


Travel directions will be emailed after we receive your registration and payment.


Comments/questions/anything we need to know, especially about your sleeping habits (e.g. if you snore etc.)if you plan to be in a double or triple/quad. Thanks for your cooperation.

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