First name *
Last name *
Country / Region *Select a country / region…AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaYemenZambiaZimbabweUpdate country / region
Street address *
Apartment, suite, unit, etc. (optional)
Town / City *
State / County * Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)
Postcode / ZIP *
Phone Number *
Email Address *
Confirm Email *
Order notes (optional)
I agree to follow the Covid Protcols as determined by the EDZ Covid Safety Group * Yes
Covid protocols will be determined by Everyday Zen Covid Safety Group closer to the date of the sesshin. Masking indoors and/or on-site testing for Covid may be required. If tests are required, the cost will be covered by the attendee.
Contact 1: Name *
Contact 1: Phone *
Contact 1: Relationship *
Contact 2: Name *
Contact 2: Phone *
Contact 2: Relationship *
Roommate (optional)
If you have arranged to share a room, who is your roommate?
Zendo Seating Preference * On a chair On a zafu (cushion) and can provide my own. On a zafu (cushion) and cannot provide my own. I will also need a zabuton (mat).
Some extra chairs will be available, but knowing people's primary seating preferences will help the Inos arrange seating in the zendo. We will also have a limited number of zafus (sitting cushions) and zabutons (sitting mats) available; please provide your own if possible.
I would like to volunteer for (check all that apply): * Doan Ryo and I have experience. Doan Ryo and I do not have experience. Tenken and Han and I have experience. Tenken and Han and I do not have experience. Chiden and I have experience. Chiden and I do not have experience. Other work assignments as needed.
My skills are (check all that apply): * Gardening Sewing Typing Other
I am trained as or to administer: (optional) First Aid CPR CERT
Physical limitations, if any: (optional)
Any medical / food allergies or dietary restrictions: (optional)
Note: All meals are vegetarian but vegan options will not be available.
Is there anything else you think we should know? (optional)
Pay with your credit or debit card via Stripe.
Save payment information to my account for future purchases.
Please note “Sesshin” on your check and send to: Everyday Zen Donations Yvette Mileff 309 Hoover Street Oceanside, CA 92054 Please put your check in the mail without delay so that we receive it by Friday, March 8.
To pay with PayPal, please first complete your “Billing Details” and “Information for the Inos” in the form above/to the left. Then, click the green “Place Order” button (below).
After clicking "Place Order", you will be redirected to PayPal to complete your purchase securely.
Your personal data will be used only to process your order and support your experience during the checkout process.
