Registration Form: Rushen of the Mind

A weekend practice retreat lead by SMS teacher Michael Katz

In-person at the Tsegyalgar East Gonpa, Conway, MA and online via Zoom
Saturday, November 2nd; 10am-12pm / 2pm-4pm EDT (Eastern Daylight Time - New York City Time)
Sunday, November 3rd; 10am-12pm EST (Eastern Standard Time - New York City Time)

First Name*

Last Name*

Email*

Language Interpretation Needs?

Are you a member of the International Dzogchen Community?*
Yes No

If Yes, what is your Gar/Ling?

Have you received transmission from Choegyal Namkhai Norbu or Yeshi Namkhai? *
Yes No

If Yes, when did you receive transmission?

How will you be attending?*
In person Online Combination of both

City:

State:

Country:*

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Email:	CONTACT US>>
Address:	P.O. Box 479 18 Schoolhouse Rd. Conway, MA 01341
USA Phone:	1-413-369-4153