Zen Dharma Assembly Registration
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Registration
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Registration
Name (require)
Phone Number (require)
email (Required, if have none, plase type N/A)
Translation earphones (require)
Need
Not Needed
Address (optional)
Gender (optional)
Prefer not to say
Male
Female
Religion (optional)
Buddhism
Christianity
Islam
Judaism
Hinduism
Taoism
Non-religious
Other
Dietary Preference (optional)
Vegetarian
Vegan
Omnivore
Halal
Kosher
All
Other
Ethnicity (optional)
Asian
Caucasian
African American
Hispanic
Native American
Pacific Islander
Other
Assistance (optional)
Assistant for individuals with disabilities
Wheelchair seating arrangement
Limited slots available. If assistance is not possible, please make your own arrangements.
Have you ever participated in our Dharma assembly? (optional)
First-time participant.
Have participated.
Additional comments (optional)
Accompanied Personnel (optional)
Name (require)
Translation earphones (require)
Not Needed
Need
email (optional)
Gender (optional)
Male
Female
Phone Number (optional)
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