Sesshin Application – Tahoma Zen Monastery

Name

First

Last

Email*

Phone

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Gender*

Male

Female

Other

Age

Schedule

Sesshin starts the evening of the first date. Informal supper will be served at 4pm. Mandatory orientation is at 5pm. Sesshin ends the evening of the last date (9:30pm). Attending sesshin is a commitment for full-time participation.
If you would like to arrive a day or two before sesshin and/or stay a day or two after sesshin please contact the monastery to make arrangements.
Significant work is needed to set-up for sesshin and clean-up afterward. Please expect to make a contribution to this work.

Osesshin led by Harada Roshi. Kokuho the night of the 20th, continuing to the night of the 27th.*

I request a seat

Do you need to sit in a chair in the Zendo:*

Always

Sometimes

No

Housing Option*

Temple

Camping

Off-site

If Housing is Off-Site, provide address and phone:

Practice History

Dharma name

Jukai (taking the lay precepts) Preceptor

Jukai Date

day

/

month

/

year

Tokudo (priest ordination) with -

Tokudo (priest ordination) Date

day

/

month

/

year

First time Applicants, please provide a brief practice history (this is required to be considered for this sesshin)

Emergency Contact, information is required

Emergency Contact*

First

Last

Emergency Phone*

Emergency email

Relationship to you*

Medical Background

Food served at Tahoma is vegetarian. Please list any serious food allergies and restrictions; any medical problems or concerns; and any physical or other conditions limiting participation in the schedule.

Medical Training; if you have, please let us know - RN, EMT, MD?

Have you been fully vaccinated, including with the bivalent booster?*

No

Yes

Full vaccination is Required for attendance.

Upload a photo of your vaccination card showing the most recent booster (Please keep the file under 8MB. Supported file types: jpg, jpeg, png, gif, bmp, tif, tiff, svg, pdf)*

WARNING

After submitting your application, do not navigate away from this page or close the tab or app. Please wait until the confirmation page is displayed.

Do you need financial aid to attend? You're required to arrive a day or more early or leave a day or more afterward to assist with Temple work.*

No

Yes

Use PayPal now for Sesshin Fee?

Yes

No

Sesshin Fee or Deposit -> Goes to PayPal and Submits Application

USD

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