DHARMA FIELD
Genzo-e Sesshin Registration
This sesshin will be led by Shohaku Okumura
September 15–19, 2010
If you are not comfortable registering by the ONLINE METHOD, look for registration forms and payment envelopes at Dharma Field, Clouds in Water, Compassionate Ocean and Minnesota Zen Center. Contact the Program Director at Dharma Field for more information.
Space is limited. Registrations will be processed on a first-come, first-served basis.
Both registration and payment must be received in the Dharma Field office to reserve space.
If you have not participated in a sesshin in the Zen tradition, please contact the Ino at Dharma Field before registering.

GENZO-E SESSHIN PARTICIPANT
First name Last name
Address City State Zip
Email Phone
EMERGENCY CONTACT DURING SESSHIN
Name Phone
SESSHIN FEES FOR MEMBERS of QUALIFYING CENTERS
Membership discount is offered to those whose membership is up-to-date (paid) at Dharma Field, Clouds in Water, CODC, MZMC or at any Zen center whose Teacher is a Dharma descendent of Dainin Katagiri Roshi.
I am a current paid member of the following qualifying Zen Center
  Full Sesshin
  $300 ($225 members)
Cancellations & Refunds:
Full refund if Dharma Field is notified before September 2, 2010
50% refund if Dharma Field is notified September 2 through September 10, 2010
No refund given if Dharma Field is notified after September 10, 2010
  Partial Sesshin

PRIORITY WILL BE GIVEN TO THOSE REGISTERING FOR FULL SESSHIN.
Same cancellation policy as Full Sesshin.
Partial sesshin registrations will not be reserved until September 11, 2010.
A full refund will be offered after 9/10/10 only if your sesshin registration cannot be fulfilled.
  4 DAYS $240
    ($180 members)
  3 DAYS $180
    ($135 members)
SHOWERS
For those spending the nights at Dharma Field and who are participating at least four days.
I would like to be included in the shower schedule. Yes No
OVERNIGHT ACCOMMODATIONS
Dharma Field cannot guarantee overnight accommodations for Tuesday, September 14. However, if you are interested in spending Tueday night at Dharma Field, please select below. You will be notified via email or phone number listed above, if accommodations can be made.
I request Tuesday overnight accommodations.
(If your plans for Tuesday accommodations change, please let us know.)
I plan to stay the nights at Dharma Field during Genzo-e. Yes No
ORYOKI
I will bring oryoki bowls to use at this sesshin. Yes No
MEAL SERVING
If age 55 or older, you will not be asked to serve meals.* Age 55+?
*If you are 55 or older and would like to serve meals, please contact the ino prior to sesshin deadline.
WORK MEDITATION
If age 60 or older, you may be exempted from a work assignment.** Age 60+?
**If you are 60 or older and would like a work assignment exemption, please contact the ino prior to sesshin deadline.
PARTICIPATION
Sesshin participants are required to be in attendance for the full sesshin schedule for each day that they are registered.
FULL SESSHIN 4 DAY SESSHIN 3 DAY SESSHIN
  PARTIAL SESSHIN: I commit to participating the following consecutive days:
AGREEMENT
I agree to participate fully in (and be on time for) all meditation periods, lectures, meals, work periods, and assigned tasks. I am physically able to undertake the normal rigors of a sesshin and release Dharma Field from liability for any accident. I will contact Dharma Field before the registration deadline if I have any questions regarding this agreement.
Typed name in this box is participant's signature of agreement.
Signature X Date