Hint! To print this form: Select (highlight) the text below, including the address and form and print the SELECTION. We ask that everyone at Great Tree complete this form for each event they attend. Send it by snail mail to:
This form is required for all attending a sesshin or retreat and must be submitted for each event. It serves as our reference to contact you or in the event of an emergency.
Great Tree Zen Temple 679 Lower Flat Creek Rd Alexander, NC 28701
Arrival Schedule: Most events begin with a light meal on the first evening and end at noon on the last day. Please arrive to check in by 4pm; orientation and preparation begins at 5pm. Call if you need directions: 828-645-2085 Fees: If you are sending a deposit only, please include your check or money order for 1/2 the event fee (for events over $100.) Make checks payable to Great Tree Zen Temple and mail it to the address above. Please indicate the event on the memo line. This secures your reservation. Registration closes when the events fills or 3 days prior to the event: forms and payment in full must be complete 7 days prior. We do not have credit card processing on site. Please indicate the event on the memo line of your check. Cancellation Policy: If you need to cancel, we request that you do so in a timely fashion, so we can contact people on the waiting list. We must receive your cancellation no later than 7 (seven) days prior to the event. There is a $25. cancellation fee for events after 7 days. If Great Tree cancels (this is rare), the entire amount will be reimbursed. If you (or we cancel), you may elect to transfer your fee to a later event, no more than three months out. You may also ask to make the fee a donation, in which case we will reclassify it for tax purposes. Fees are not considered tax exempt. Membership: Please visit the Membership page of Great Tree’s website. If you have been on our mailing list for over 90 days, you are a member. You may, if you wish opt to apply member fees for sesshins and some retreats. About Fees: Fees are an important part of Great Tree’s operating budget and cover expenses (food, utilities, upkeep). We are soley supported by donations from are members. Teachers and instructors are not compensated and it is customary to provide dana for your teacher at the end of the sesshin or retreat in honor of their commitment. You may include dana with your fee. Please be mindful to clearly indicate your intention so we can apply it an appropriate manner. Select the lines below; set your printer to “Print – Selection”. Or you can copy and paste them to your word processor. It’s not the form but the information we need to have on hand during your stay.
Name(s):______________________________________________________________________
Address: _________________________________________________________________________
City:_________________________________________State_________Zip____________________
Phone (s): ______________________Email:__________________________
Program:_____________________________________________________
Membership? Yes/ No/Sign me up Amt.____________ Check/MO/PayPal
Arrival:Date/Time:______________ Departure:_____________________
Special Diet: __________________________________________________
* note, we serve vegan (meat & dairy free) diet, based on macrobiotic principles. Tea and coffee are available. Please contact us if you have special needs.
Prescriptions or special needs?______________________________________________________
___________________________________________________________
Emergency contact(s): _____________________________________________
Phone(s): _______________________________________________________
Insurance Information:____________________________________________________________
Name and contact for primary physician:________________________________________________________
Date:______________
Signature:_______________________________________________
Any other comments or concerns?