Bion’s Psychoanalysis, Dogen’s Zen

OnLine Via Zoom: Saturday, September 25, 2021,  8:45 – 5:15

with

Seiso Paul Cooper, Sensei

RETREAT REGISTRATION FORM

PLEASE TYPE OR PRINT CLEARLY

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(to confirm your registration)

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Meditation Practice: ____ YES ____ NO. If Yes, what is your practice, frequency, tradition? ___________________________________________________________________________________________

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Please sign below: I have read, understand and agree with the cancelation policy.

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Queries: Contact

Retreat Fees: Please note: this is a closed retreat. Full Attendance Only

Registration: $65. Closes September 23rd

Early Registration Discount By September 1st.: $50

* Cancellation Policy: Before September 1st: $20 processing fee. After September 23rd: No refund

For Retreat Only: Please print-out this form and mail with Check or Money Order made out to: “Paul Cooper” Mail: Realizational Studies P.O. Box 405, Narrowsburg, N.Y. 12764. Or, Zella, Paypal or Venmo: Contact us for Instructions

Full Retreat Schedule

For Realizational Studies Retreat Questions:  Contact