Retreat Registration Form

Name *
Name
Phone
Phone
What day(s) will you sit? *
Are you sitting the full day(s)? *
(Friday 9:30am - 9:30pm) (Saturday 6:00am - 9:30pm) (Sunday 6:00am - 12:30pm)
(6:00am - 8:30am) (10:00am - 1:00pm) (2:00pm - 4:30pm) (6:00pm - 9:30pm)
Do you have any food allergies/dietary restrictions? *
Are you staying overnight?

Retreat Fees

Non-members: $60 (per day) / $30 (Sunday) Want to become a member?
Members and Students: $45 (per day) / $25 (Sunday)
Dharma Teachers / DT-in-training: $35 (per day) / $20 (Sunday)

Pay your retreat fee securely online with credit card or PayPal account*. 

*Optional for PayPal users; login into your account, click the Send Money tab. Enter fee and send to paypal@emptygatezen.com