REGISTRATION PAGE

Softening Barriers to Love: Growing Up and Waking Up Along the Zen Path
with Flint Sparks
March 1-3 2019

Please complete the form below and make your payment using one of three payment options:

Mail a Check
Make check payable to Ecumenical Buddhist Society and write Zen Retreat in the memo.
Mail it to EBS, P.O. Box 561, Little Rock, AR 72203
Zelle App
If your bank offers this service, you can send payment through Zelle to donations@ebslr.org
PayPal
A PayPal link will appear after you submit your registration.

Click Here for more Information about the Retreat on the EBS Website

For questions contact Judith Elane 501-912-1191, Elanejudith@gmail.com

Name

First Name

Last Name

Address

Email Address

Registration Fee ($150 for both days)

Please enter the amount you wish to pay to attend the retreat. You may enter an additional amount to support the scholarship fund. You will have the opportunity to pay through PayPal after submitting this form. You can also mail your payment to the PO box below. If you wish to find out about scholarships please email Elanejudith@gmail.com

$

Special Instructions

Please let us know if you have any special needs or concerns.

If you have questions, wish to only attend part of the retreat, or want to know about scholarships, please email Elanejudith@gmail.com