Dharma Rain Zen Center - Zen on the Farm Registration

Zen on the Farm Retreat Registration

Name

Phone E-mail

Postal address

Dietary restrictions or special needs

Full Weekend Partial weekend
Arriving (Day, Time) Departing

I am able to offer a ride for carpooling. (Location/Time/Details)

I need a ride. (Location/Time/Details)

Okay to share your information with others offering/needing a ride?
Yes No

I will donate $ in support of DRZC’s programs.

Clicking “Submit” will take you to a PayPal page where you can pay online.