Workshop Registration - Rochester Zen Center

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Age

Occupation

How did you find out about the Zen Center's Workshops?

Do you have any special needs we should be aware of?

Please indicate the date you wish to attend*

Workshop attendance. For low income, please call us at 585-473-9180.

Would you like dormitory accommodations for the weekend of the workshop? ($25 per night)

Men's or Women's Dorm?