Survey

OMZS • Sydney • Spring Sesshin Application •12 - 18 September 2010 Stroud • Teacher: Geoff Dawson

The Stroud Monastery is about 50 kms north west of Newcastle on the road to Gloucester. It is in a bush setting on the outskirts of the village of Stroud. It is a mud-brick building built by a contemplative order of nuns in the 1970’s/80’s that creates a wonderful atmosphere in which to practice sesshin. It is about 2.5 hours drive north from Sydney. Car pooling can be arranged for those needing a lift.

Please fill out the Questions below and click on the "Done" button to submit registration form.

1. Applicant's Name

Applicant's Name

2. Address

Address

3. Email Address:

Email Address:

4. Telephone Numbers (Home/Business/Mobile):

Telephone Numbers (Home/Business/Mobile):

5. Contact Person (in case of emergency). Provide both Name and Phone Number:

Contact Person (in case of emergency). Provide both Name and Phone Number:

6. Only fill out the following if you have not done sesshin with Geoff Dawson previously.
Meditation Experience - State length of meditation practice (Mths or yrs) and any sesshins/meditation intensives attended

Only fill out the following if you have not done sesshin with Geoff Dawson previously. Meditation Experience - State length of meditation practice (Mths or yrs) and any sesshins/meditation intensives attended

7. Health
Do you have any medical or mental health problems that may affect your ability to do sesshin?

Health Do you have any medical or mental health problems that may affect your ability to do sesshin?

8. How are you paying?

How are you paying? Direct Electronic Funds Transfer (For details contact Peter Walz 0450 444 189)

Cheque

Cash

9. Part Time Attendance: There will be a LIMITED number of Part Time Places available. Part time students must attend for an unbroken period of at least two full days commencing on Sunday 12 September. The part time option is available for those who cannot attend for the whole week due to health reasons, parental or carer responsibilities etc. It is also an option for those with no prior Sesshin experience.

Only Answer this question if you are applying for a part time place.

How many (full) days would you like to attend

Part Time Attendance: There will be a LIMITED number of Part Time Places available. Part time students must attend for an unbroken period of at least two full days commencing on Sunday 12 September. The part time option is available for those who cannot attend for the whole week due to health reasons, parental or carer responsibilities etc. It is also an option for those with no prior Sesshin experience. Only Answer this question if you are applying for a part time place. How many (full) days would you like to attend 2

Other (please specify)

FULL FEE PAYABLE WITH APPLICATION $450
PART TIME FEE PAYABLE WITH APPLICATION $200
Unemployed Person & Pensioner Rate: $250(Full Time)
$120 (Part Time)
Financial hardship will not prevent anyone from attending, please contact Peter Walz (see below) if you cannot afford the fees.
Send Applications and Cheque to:
Ordinary Mind Zen School Sesshin Registration
Unit 57 60-70 William Street, Woolloomooloo 2011

Payment can be by Direct Funds Transfer or Cheque
Direct Funds Transfer Details: Phone Peter Walz 0450 444 189
OR
Make Cheque Payable to: Peter Walz
Discounts available for Pensioners and Unemployed Persons

CLOSING DATE FOR APPLICATIONS : Friday 3 September 2010

Enquiries: Christine Sanderson M:0409 890 029 T:02 9357 1610 E:christinersanderson@gmail.com