Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I am applying as a *

Certified Sheng Zhen Gong Teacher

Sheng Zhen Teacher in Training

Sheng Zhen Seminar Participant

When did you first start Sheng Zhen Gong?

MM

DD

YYYY

Please check which of the following you've studied

Gathering Qi and Awakening the Soul

SZ Healing Gong 1&2

Union of 3 Hearts and 9 Turns

And either:

Heaven Earth Gong and Heart Spirt as One, OR

Heart Mind as One and Listening to the Heart

Have you met Master Li or Jing Li?

Yes

No

Please share dietary information *

Regular diet

Vegetarian

Gluten/Wheat free

Dairy-free

Do you snore?

Yep

Not that I know of

Are you

Early to bed

A night owl

Room preferences and payment due: *

We will do our best to meet your housing requests. Rooms are allocated on first come, first served basis. If you have questions about rooms, please contact events@eastover.com. Prices below apply for payment by credit card. When you go to the Eastover website to choose your room, you will have the option to pay by check at a discounted rate. Please indicate your room preference below:

$2053.48 Shared room (3 people) w/private bathroom

$2283.17 Shared room (2 people) w/private bathroom

$3195.85 Private single room with private bathroom

$4860.95 Couples queen room with private bathroom

$4930.13 Couples king room with private bathroom

I have questions about the rooms. Please contact me.