April 2023 Sophia Zen Sesshin Application

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Please complete this form and make payment on the same day. For payment follow links on https://sophiazen.org/sesshin . If you prefer to use a check, write it to Sophia Zen Center and mail it to 115 S Saint Peter St; South Bend, IN 46617. Registration is complete when this registration form and payment are received.

Email *

Name *

Please give your complete address, including city and zipcode.
*

Phone Number *

Emergency Contact name and phone
*

Contact Joyce Hug at jhug@michiana.org to reserve a bed ($20/night) or place on the floor ($10/night) for sleeping.
*

I plan to commute from home each day.

I will make arrangements with Joyce Hug to sleep at Sacred Waters - jhug@michiana.org.

Dietary Restrictions/Food Allergies *

A copy of your responses will be emailed to the address you provided.

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