Sesshin & Zazenkai in Japan 2018

Registration is due as soon as the number is reached.

Registration for Sesshin & Zazenkai in Japan 2018

Passport Name (including your middle name) *

E-mail Address *

Contact Number *

Date of Birth *

Nationality *

Passport Number *

Date of Expiry *

Frequent Flyer Program & Number

Please check what you're registering for. Thank you! *

Full-time

Plan 1

Plan 2

Sesshin Experience - I have done Sesshin & Sanzen with: *

Joshu Roshi

Noritake Roshi

Neither of them but I have Sesshin experience

Single Room Supplement for Hotels | Additional $100 each room

Yes

Non-refundable Deposit: $1000 *

I will make an online payment

I will mail a check

Emergency Contact Info (Required) *

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