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Dharma Buddy Interest Form
For registering interest in the dharma buddy program at Ancient Dragon Zen Gate
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone Number
Your answer
Location
Your answer
Do you have a preference for being paired with someone in your location, if possible?
Yes
No
Clear selection
Are you still meeting with a dharma buddy from the last assignment?
*
Yes
No
This is my first time participating!
If you answered "yes" to the above question, would you like to be assigned to someone new or continue meeting with your current buddy?
Someone new, please!
Continue with my current dharma buddy
Clear selection
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