<p> Compassionate Wisdom for Our Times A Mindfulness Retreat with dharma teacher joanne friday june 1-4, 2017, won dharma center, claverack, new york Registration Form Dear Friend,</p><p>We are so happy that you are planning to join us for [title], a mindfulness retreat in the tradition of Zen Master Thich Nhat Hanh with dharma teacher Joanne Friday. Please complete both pages and return this registration form to us by email ([email protected]) or by snail mail (??).</p><p>Name (please type or print clearly): </p><p>______</p><p>Room Request**:  single ($620)  double ($400)  quad ($295)  commuter/camper ($180) [if double or quad, please indicate if you identify as ____male or ____ female]</p><p>Roommate request(s):</p><p>______</p><p>All beds are single beds (no bunk beds). Shared bathrooms are available in the halls, close to the rooms.</p><p> payment by check only; please make your check payable and mail to: Berkshire Mountain Laurel Sangha P.O. Box 33, Monterey, MA 01245</p><p>Retreat Registration Form: Additional Information 2</p><p>** Room rates are set by Won Dharma Center, and include all meals from Thursday dinner through Sunday lunch. No additional fees have been added to these amounts.</p><p>Won Dharma Center will make every effort to accommodate special dietary needs; we will contact you if they are unable to honor your request. There is a special refrigerator in the dining hall for those who need to bring their own food. Please indicate any special dietary needs below:</p><p> vegan  Gluten-free  soy-free</p><p>I have the following food allergy(s): ______</p><p>This is my first retreat in the Thich Nhat Hanh (Plum Village tradition):</p><p> yes  no</p><p>My previous experience with meditation is (note – no experience necessary!):</p><p> none  books/on my own  retreats in other traditions  local sangha practice</p><p>I have received the Five Mindfulness Trainings:  yes  no</p><p>I am a member of the Order of Interbeing:  yes  no</p><p>(if yes) my True Name is: ______</p><p>I am applying for a partial scholarship:  yes  no If yes, please include your scholarship application with this registration form. There is no need to send payment until you receive a response to your application.</p><p>For additional questions and concerns, please contact us at ~ [email protected]</p>