Zen Center of Los AngelesZen Center of Los Angeles

Program Application

Newcomers, please fill out the application form below to finalize your registration.


 

Participant Contact Information

Sesshin Information

Room Assignment Information


Your housing assignment will be made using the information on this form. It is important that you clearly state any accommodations you may require in the "additional notes" section.

We will do our best to accommodate requests for single rooms, but may have to assign roommates depending on the number of participants.
Do you have mobility issues that make walking up and down stairs difficult? Do you snore loudly?

Previous Practice Experience


REQUIRED FOR NEWCOMERS

Emergency Contact Information


Please list at least one contact with phone numbers where they can be reached during the retreat.

Medical Information


Answers to the following questions are necessary to help determine whether or not participation in a sesshin will aggravate a serious physical condition, endanger a participant's health, or affect the smooth functioning of the sesshin. Therefore, it is extremely important that all information be complete, current, specific and clearly stated.

PLEASE NOTIFY PROGRAM STEWARD, MYOKI, OF ANY MEDICAL OR OTHER CONDITIONS THAT ARISE AFTER SUBMITTING THIS APPLICATION


I agree to maintain a daily sitting practice from the time of this application through the sesshin. I will participate to the extent I have specified above. I understand that my physical, mental, and emotional well-being are my own responsibility and understand that practice is not a substitute for therapy. I am receiving treatment for any medical or psychological condition(s) that I have, and I have revealed all pertinent information on this form. I am capable of undertaking the rigors of sesshin at this time. I agree that neither the Zen Center of Los Angeles nor any of its employees, officers, trustees, or trainees - nor any person acting as sesshin monitor or otherwise supervising, overseeing, or conducting any aspect of sesshin - shall be liable to me or to any other person for any loss or injury suffered by me in connection with my participation in sesshin, whether or not such loss or injury is caused by any act or omission of the Center or any of the persons specified above.