New Year Program RSVP

New Year Program Schedule:

Wednesday, December 31st, 2014

2:00 – 6:00 pm | Year End Cleaning & Preparation
6:00 pm | Harmony Dinner
8:00 – 9:30 pm | Listening Circle
10:30 pm | Traditional Soba Noodle Soup
11:30 pm – Sunrise | Zazen in honor of our teacher

Thursday, January 1st, 2015

5:00 am | Choka (Chanting Service)
6:00 am | New Year’s Wrap-up Listening Circle
6:30 am | Breakfast & Group clean up to end the program

Please RSVP by filling out this form by Sunday, December 28th, 2014. Thank you!

Full Name

Contact Number

Email

New Year Program RSVP

All New Year Program

New Year Eve & Dinner

New Year & Breakfast

Total number attending meals including yourself (Required)

Participation Information & Room Assiment

I need air-port pickup ($10)

I need housing before or/and after New Year Program ($35/day)

I need to rent linens ($5)

If yes, please indicate date & time of your arrival and departure

Suggested Donation $50 Donation (pay by Paypal)

Checkboxes

Make Donation by Check or Cash on the day of the event

Have you recently had symptoms of headache, dizziness, palpitation, or shortness of breath associated with practicing meditation?

Yes

No

Do you have an dietary restrictions and/or allergies?

Yes

No

If you clicked yes above, please specifically indicate the conditions