International Buddhist Culture TV Foundation
701 136th PL NE #B5 Bellevue WA 98005 (206)-229-7833 www.ibctvf.org
Zen meditation class registration form
Name: ______________________________ Date: __________________________
Email: ____________________________ Tel: ___________________________
Address: ___________________________________________________________
Age: _____________ Sex: ___________ Occupation: ___________________
Q&A
Q: (1) Do you have any health problem? If you have, Please explain.
A:_________________________________________________________________
Q: (2) Have you been practice any type Meditation or Yoga?
Where are you learn from ?
A:__________________________________________________________________
Q: (3)What is Zen meaning to you? What do you want achieve about Zen?
A:___________________________________________________________________
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