Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency Contact Phone *

(###)

###

####

Attending *

In person [last day to register is October 9 at 5p]

Online [last day to register is October 20 at 5p]

Retreat *

ODZC is committed to financially accessible teachings, so please pay what you can based on your circumstances. For reference, the amount to cover costs to attend in person is $260 and online is $160.

$260 (in-person)

$160 (online)

Other amount

In person fees include lunch and dinner Friday and Saturday. Please indicate if you need:

dairy free

gluten free

Please acknowledge the following: *

I understand the retreat will be recorded.

Please acknowledge the following: *

I have read and understand ODZC's Covid and Respiratory Illness Policy.