The first time you bring your child to a dharma class, we ask that you fill out a one-time registration and release form. Please download it here as a PDF file, print it, fill it out, and bring it with you to your child's first dharma class.

ONE TIME REIGSTRATION/RELEASE FORM

For future, dharma classes, it is sufficient, to simply notify us that your child is coming, by phone, or by filling out the form here online.

Please select the dharma class your child will be attendinr: Jan. 20, 2008 Feb. 17, 2008 March 9, 2008 April 20, 2008 May 18, 2008 June 22, 2008

How did you find out about the Zen Community of Oak Park? Internet Search Web Site Link Chicago Tribune Oak Leaves Wednesday Journal Oak Park Journal Chicago Reader Tricycle Shambhala Friend Other

Contact information:

Name Child's Name
E-mail
Phone Number
Street Address
Address (cont.)
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Country

Cost: $15 per child

Make checks out to the "Zen Communty of Oak Park"

Mail to:
Zen Community of Oak Park, 163 N. Humphrey Ave., Oak Park, IL 60302

Once we receive your check we will contact you to confirm your registration.