Day of Mindfulness

Date of Day of Mindfulness you wish to attend *

MM

DD

YYYY

Name *

First Name

Last Name

Name *

First Name

Last Name

I have completed an eight-week MBCT/MBSR course before and/or at least one day long silent meditation retreat that was teacher led *

Yes

No

By registering I am agreeing to mindfulBeing’s terms and conditions and refund policy. I understand that the day includes skills training in meditation methods as well as gentle mindful movement exercises. I understand that if for any reason I am unable to, or think it unwise to engage in these techniques or exercises, I am under no obligation to engage in them. Furthermore, I will not hold mindfulBeing or the program facilitator liable for any injury incurred from these exercises or through my participation on the day of mindfulness *

Yes, I agree

No, I do not agree