Early Fall Lakeshore Gather at the Holy Heavenly Lake

Date：2022/11/05（Sat.）9:30AM- 4:30PM

2022/11/06（Sun.）9:30AM- 12:00PM

Phone number: 626-797-1590

Address: 10111 Choiceana Ave., Hesperia, CA 92345

(please fill out the form)

Application serial number (system assigned)

Date (year/month/day)

Name

Phone Number

Address (Please fill in complete address including house number, street, and city, etc)

Email Address

Affiliated organization/ Dharma Center/ Individual

Sign up for the Early Fall Lakeshore Gather at the Holy Heavenly Lake on 11/5/2022 (9:30AM- 4:30PM)?

Yes (myself)

Yes, how many in your party?Yes, how many in your party?

No

**Please fill out all the names of those who will attend the event together on 11/5/2022

Sign up for the Early Fall Lakeshore Gather at the Holy Heavenly Lake on 11/6/2022 (9:30AM- 12:00PM)?

Yes (myself)

Yes, how many in your party?Yes, how many in your party?

No

**Please fill out all the names of those who will attend the event together on 11/6/2022