APPLICATION FORM

Sanzen

Even if a group of people would like to participate in the Sanzen 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

Buddhist * 　
priest　 laypeople　 none

Home address *

City *

State *

Country *

ZIP Code *

Country code *

Phone number or mobile number*

Fax number (if applicable)

Email address *

Confirm email address *

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

Address

Phone number

Fax number

Previous zazen experience *　
Y　 N

　Place　 Eiheiji　 Other

Affiliation to Soto Zen organization or place of practice

Motive for staying at Eiheiji *

Desired date to stay

1st choice *

2nd choice *

** If your schedule changes, please notify us as soon as possible.

Expected arrival time *

** Participants must arrive between 14:00 and 15:00.

If you have any food allergies, please specify.

Please add our address to Safe Senders List.

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 “.”.