Sesshin Application

CLEAR WATER ZEN CENTER
(727) 391-5735 e-mail Contact Us

Use this form if this is your first sesshin with the CWZC or if your contact or medical info has changed.

Application for (insert date)__________________, sesshin in Clearwater, Florida.

Name ____________________________________

Phone (H) ( ___ ) ________ (W) ( ___ ) ________

Mailing Address ____________________________

Zip Code _______

E-mail ___________________________________

Date of birth: ________________

Emergency Contact _________________________

Phone (H) (___)_______(W) (____) ___________

Please complete and attach the Medical Information Form if not on file with Sensei or if your medical info has changed since your previous sesshin at the CWZ.

SESSHIN COSTS: Please enclose a check. Suggested payment is $40.00 per day, $30.00 per day for members. Please mail the check to Mr. Ken Rosen, 10388 Kumquat Lane, Seminole, FL 33772-7514, payable to Clear Water Zen Center or hand-deliver it. Dana (donation) for Sensei is not included. Please give generously. Having a sanctioned teacher to train with us is a great blessing and your support is needed. Please give the dana to Ken. Thank  you!

CLOTHING: In addition to a robe, please bring dark or solid-colored clothing for use during the work periods, and a set of loose pants or shorts and a plain shirt or blouse for use during the exercise periods. Please avoid bright or patterned clothing and perfumes during sesshin. BEDDING: We supply foam mats. Please bring sheets, pillow, etc. Wearing a robe is not mandatory. A few robes are available for borrowing.

Full time? ____  Part time? ______  If part time, please indicate your schedule below.

5:15 AM to 7:30 AM outdoor kinhin, sittings and chanting: Thu___ Fri___ Sat___ Sun___

Breakfast: Thu___ Fri___ Sat___ Sun___

Work period: Thu___ Fri___ Sat___ Sun___ 

Pre lunch sittings & Teisho: Thu___ Fri___ Sat___ Sun___

Lunch: Thu___ Fri___ Sat___ Sun___

After lunch sittings, chanting and exercise period: Thu___ Fri___ Sat___ Sun___

Dinner: Thu___ Fri___ Sat___

Evening sittings: Thu___ Fri___ Sat___

Overnight stay: Wed___ Thu___ Fri___ Sat___

I will finish the entire sesshin or portion of sesshin for which I have applied. WAIVER OF LIABILITY: I understand that sesshin is a period of intense traditional Zen training involving about ten (10) hours of formal meditation per day during which participants may be struck with the kyosaku (encouragement stick). In consideration for my being accepted into sesshin, I agree that neither Windhorse Zen Community nor The Clear Water Zen Meditation Group, Inc., nor any officer, trustee, or director of said Community or Group, or any person acting as sesshin monitor, or overseeing any aspect of sesshin, nor any sesshin participant, nor the owner or tenant of the building where sesshin is conducted, shall be liable for any loss or injury suffered by me in connection with my participation in sesshin, whether or not such loss or injury is caused by any act or omission of any of the entities specified above.

Signature _________________ Date ___________