Sesshin Application
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7 Arnold Park
Rochester, NY
14607
USA
(585) 473-9180
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Are you applying to the entire sesshin?
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Yes
No
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If not, tell us which days and times you would like to attend:
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Sesshin Fee:
The full fee for sesshin is due before sesshin
begins. If you are a Center member, the fee is
$45/day. For non-members, it’s $65/day. For those
coming part-time, the charge per block is $12/day for
members and $15/day for non-members.
Each day of sesshin includes 4 blocks of sitting:
Block 1: 4:45am - 7:00am
Block 2: 9:30am - 12:30pm
Block 3: 1:30pm - 3:45pm
Block 4: 7:00pm - 9:30pm
Abbot’s Fund:
For members unable to afford the sesshin, Roshi has a
fund he can use to provide assistance. If you would like
to donate to this fund and help others to attend sesshin,
please indicate the amount here:
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Personal Information
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Membership Status
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Member
Non-Member
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If, in a formal ceremony, you have become the student of
a Zen teacher, please enter the teacher’s name:
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Sesshin Experience
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Have you ever attended a sesshin?
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Yes
No
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If yes, please list the most recent and longest sesshins you’ve attended:
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Sesshin Month/Year |
Location |
Conducted By |
No. Days |
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Medical Information
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Please answer the questions below in detail, even if
you’ve done so for a previous sesshin.
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Please list any medical conditions you have that require
regular care or medication (include pregnancy, current
infections, high or low blood pressure, communicable
diseases or chronic headaches).
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Medical Condition:
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Medication (if any):
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Please list any hospitalizations or major surgeries you
have had in the past five years:
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Describe any significant problems with your back or legs:
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I need to sit in a chair:
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Never
Part-Time
Full-Time
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If you have experienced dizziness, fainting, palpitations
or shortness of breath during sitting, please describe the
nature of the problem:
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List any dietary restrictions or food allergies that
might affect your sesshin and give some indication of their
seriousness. NOTE: if you have a serious food
allergy, please also contact the Head Cook directly.
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Describe any other allergies (including allergies to drugs):
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Please complete the following two questions if this is
your first sesshin with the Rochester Zen Center or if the
information has changed since you last answered these
questions:
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Please give details of any serious psychological problems
or crises (including addictions), whether or not you were treated or hospitalized:
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Have you ever attempted to take your own life?
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Yes
No
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PLEASE NOTIFY THE HEAD MONITOR OF ANY MEDICAL OR OTHER CONDITIONS THAT ARISE AFTER SUBMITTING THIS APPLICATION
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Soaking in bath or shower: The Chapin Mill
Retreat Center has two communal soaking baths (a
description of which is
posted here). If
you would like to take a bath rather than a shower, check the
box, and if we can schedule you for one, we will.
Request bath
This will be my first time using the Chapin Mill bath
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Rides and rooms: If coming from out of town, will
you need a ride from the airport, and would you like a room
at Arnold Park or Chapin Mill before or after sesshin?
No, I don’t need a ride or a room.
Yes, and I will contact you later with the details.
Yes, and here are the details:
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If there are any pressing circumstances, such as
difficulty arranging time off from work, that would prevent
you from applying to another upcoming sesshin, please
explain here.
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In submitting this application, I agree as follows:
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I will finish the entire sesshin or that portion I’ve applied for.
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WAIVER OF LIABILITY: I understand that sesshin
is a period of strenuous traditional Zen training
involving some 10 hours of formal meditation per day
during which participants may frequently be struck with
the kyosaku (encouragement stick). In accordance with
this understanding and in consideration for the Center’s
accepting me to sesshin, I agree that neither the
Rochester Zen Center nor any of its employees, officers,
trustees, or trainees - nor any person acting as sesshin
monitor or otherwise supervising, overseeing, or
conducting any aspect of sesshin - shall be liable to me
or to any other person for any loss or injury suffered by
me in connection with my participation in sesshin,
whether or not such loss or injury is caused by any act
or omission of the Center or any of the persons
specified above.
I’ve read the statement above and agree:
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