Retreat Registration Form

Your name (required):    

Your E-mail address (required):

Your postal address (required for all new retreatants):

Your Phone Numbers (required for all new retreatants):

Day:
Evening:  

Which retreat do you wish to register for?


Will you be doing the entire retreat?
Yes  No

If NO, please note when you will be arriving and departing. Please make sure your plans fit within the stated limits for the retreat you are registering for.

Please indicate your previous retreat experience, if any:

Kwan Um School Retreats:
- Winter Kyol Che
- Summer Kyol Che
- Yong Maeng Jong Jin
- Buddhist/Christian Retreat
- Kido
- Foundations of Zen

- Japanese Zen
- Vipassana
- Tibetan
- Vietnamese Zen
- Other

- No previous retreat experience

What is your age?



Do you have any special dietary needs?
Yes  No

If YES, please give details for our cooks to follow.

Are you a full-time student?
Yes  No

If YES, what school do you attend?

If you are registering for an overnight retreat - do you snore?
Yes  No

Your Gender:
Female  Male

Will you need transportation between PZC and the airport, bus or train terminals? (See note 1 below.)

If YES, please give details for both arrival and departure:

Where will you need to be picked up?
Providence T.F. Green Airport
Peter Pan Bus TERMINAL (not Kennedy Plaza)
AMTRAK
Commuter Rail (SOUTH Attleboro)
Hotel
None

Arrival date:   and time:  :
Note: Pickups are done between 9:00 am and 9:00 pm.

Applicable details (airline, flight number, departure city, hotel name, etc.)

Where will you need to be dropped off?
Providence T.F. Green Airport
Peter Pan Bus TERMINAL (not Kennedy Plaza)
AMTRAK
Commuter Rail (SOUTH Attleboro)
Hotel
None

Departure date:   and time:  : (i.e., the time your plane, train, etc. actually departs)
Note: We are able to provide dropoffs for times between 6:00 am and 6:00 pm.

Applicable details (hotel name, etc.)

Other Special Needs or Comments:

Please note the following:

  1. At least 48 hours advance notice is needed to make arrangements for transportation to PZC from the airport, bus or train terminals. There is a $25 charge each way for pickup or dropoff from the airport and $15 each way for the bus or train terminals.
  2. If you have given us your e-mail address you will receive a confirmation note from us.