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Inschrijving Krokus sesshin / Inscription sesshin perce-neige 2012

Personal Information

First Name: *

Name: *

E-mailaddress: *

E-mail (control): *

Street:

Zip Code:

Town:

Country: *

Tel:

Date of birth: *

Gender: *

male

female

Sesshin information

Dojo:

Ordination:

not ordained

monk

nun

bodhisattva

First sesshin:

yes

Choice accomodation

Choice accomodation: *

Keuze samu:

Presence the day of arrival at 3pm

Kitchen work

Dining hall service

Shopping

Dishes

Cleaning

Bar

Note taking

First aid (doctors or nurses)

To help the organisation, please be helpful.// Merci d'aider l'organisation où vous pouvez. // Dank om de organisatie te helpen waar je kunt.

Remarks:

If you have to do some remarks about your stay, please go ahead. // Si vous avez des remarques. // Indien je nog opmerkingen heb.

AZB asbl - BZV vzw & ABZE