Queensland Zen Centre
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    Retreat Application Form

    Please specify which retreat you are interested in.
    Please provide details of any medical condition that may impact on your participation in the retreat.
    Please let us know of any medical management plans you have in place to manage your medical condition.
    Please provide details of your previous meditation training/practice experience
    If you are currently a member of a Buddhist or other meditation group, please provide details here
    Please note: All information provided is kept strictly confidential and will be reviewed by Zen Master Senshin.
    Information you provide will never be shared with third parties without your express consent.  Your information will be stored securely, and disposed of, in accordance with the Australian Privacy Principles. 

    Please provide details of any medications we should be aware of.
    Please advise of any allergies that we should be aware of.
    Please provide details of which tradition/s you have practiced in and any teachers you have practiced with
    Please provide details of your retreat experience - teachers, length of retreats, year
    Please provide a name and contact number in case of an emergency.
Submit
Queensland Zen Centre
For accurate, current information regarding QZC, including our current program, please email us at [email protected].
Website last updated:  12 May 2025