APPLICATION FORM

International Zen Workshop
IZW

Even if a group of people would like to participate in the IZW program, each person should submit an application individually. This application must be filled in and submitted by the person who actually participates in this program.

Please fill in all of the required fields (marked with *).
Please enter in normal characters on a Western-style computer.


Full Name *
(in the order of given name, middle name, family name)
Nationality *
Languages *
Occupation *
Age *
Sex * 　 M　 F　 Others
　Gender Pronouns (i.e. he/him, she/her, they/them, or something else?) *
Home address *


City *
State *
Country *
ZIP Code *
Phone number or mobile number*
** Please include your country code.

Fax number (if applicable)
** Please include your country code.



Email address *
Confirm email address *


Address and phone number in Japan before coming to Eiheiji (if applicable).
Address
Phone number
Fax number


Buddhist * 　
none　 layperson　 priest
Experience of zazen *　
 Y　 N
　Place　 Eiheiji　 Other
Affiliation to Soto Zen organization or place of practice
Motive for participating in IZW *

Please select the program you are applying for *
program : from 13:00 on September 3rd to 10:00 on September 6th, 2025



Condition of health *
If you have any special health conditions, please specify. *

History of participation in sesshin *
** If you have experienced an intensive zazen program or sesshin, please give details (dates, teacher etc.).


If you have any food allergies, please specify
** Participants must assemble before 13:00 at the reception of Eiheiji.
** If you are delayed, or if you are unable to participate, please notify us as soon as possible.
** After reading the detailed guidelines on the workshop and accepting all requirements, please click on the acceptance checkbox below.


I have read the details on the Daihonzan Eiheiji International Zen Workshop and agree to accept all requirements and follow them completely.

I Accept　





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Mail sent from EIHEIJI may be identified as spam. A reply mail will be automatically sent after submitting the application. In case that you do not receive it, please add our e-mail address to Safe Senders List and submit again.

no_reply(AT)daihonzan-eiheiji(DOT)com


** Please replace the words, (AT) and (DOT), to the correct symbols, “@“ and “.”.










5-15 Shihi Eiheiji-cho Yoshida-gun Fukui-ken 910-1228, Japan
Tel : 0776-63-3188
 / Fax : 0776-63-3631


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