Membership is a way to support you in your practice and Zen Garland and its teachers in their effort.
Single Couple / Family Student / Senior
$50 monthly donation: Single $70 monthly donation: Couples / Family $30 monthly donation: Students / Seniors
First Name:
Last Name:
Address:
City, State, Zip:
1. Date of Birth:
2. Date of Birth:
Homephone:
Cellphone:
Email 1:
Email 2:
If you have children under the age of 18, please list them and their dates of birth:
Work experience:
Have you had precious meditation experience? Please describe:
A member at the Zen Garland Community may find some aspects of our program physically or mentally demanding. The program may at times include physical work and a vigorous daily schedule. I may freely decline to participate in any work that in my sincere judgment is dangerous to my health. I realize that I may consult with a teacher from Zen Garland at any time to resolve any difficulties I might have. I will not leave a program prematurely without consulting with a teacher.
I agree to release Zen Garland Community from liability from any injury I suffer and to indemnify Zen Garland Community for any injury to others caused by me.
I hereby grant Zen Garland Community of Wyckoff, NJ permission to use my photograph in conjunction with marketing, publicity and advertising on behalf of Zen Garland.
In addition, I hold Zen Garland Community harmless, for any unintentional misuse or misrepresentation of my photograph as a part of the above mentioned activities.
