Interpersonal Mindfulness training

first name *

middle name

last name *

M F other *

address *

zip code *

city *

country *

phonenumber *

email *

date of birth *

Meditation: please describe your meditation experience (tradition, practice, duration, number of years) *

Yoga: please describe your yoga experience (tradition, practice, duration, number of years, training – if applicable) *

Retreat experience: please describe your retreat experience (tradition, teachers, duration, number of retreats/years) *

Please describe your experience with teaching mindfulness, or applying mindfulness practices in your work: * yes no

How did you hear about this program? *

Is there any other information you would like to share with the teacher(s)?

Other personal information: Do you currently experience major health issues? If yes, please describe. Do you suffer from serious psychological problems, such as addictions, anxiety, depression? Are you currently in therapy? Do you take any medicine for your mental health? Please describe here. * * Please note: answering "yes" to this question does not automatically mean you cannot participate. Since psychological issues / complaints can influence your meditation practice, and vice versa, we like to get in touch with you personally before the start.

Additional comments:

Payment *

Please transfer the payment within 14 days after registration.

€ 295,00

Cancellation policy

In het geval je je aanmelding moet annuleren, ontvangen we graag direct bericht via email (info@presentmind.nl). Voor alle annuleringen gelden € 25,- administratiekosten. Bij annuleringen ontvangen tot 8 weken voor de start van het programma worden kosten teruggestort (minus admin. kosten). - Annuleringen ontvangen tussen 8 en 4 weken voor aanvang ontvangen 50% van de kosten retour. - Bij annuleringen die binnen 4 weken voor aanvang binnenkomen, is geen restitutie meer mogelijk. Het is wel mogelijk om in overleg een collega in jouw plaats te sturen. - Bij voortijdig stoppen van het evenement is geen restitutie mogelijk.

I understand that the teacher(s) and other staff decline all liability for any damage occuring to my person or my possessions in connection with this program.

* I agree with the terms and conditions and I register for: Interpersonal Mindfulness training - 11-01-2021 until 08-03-2021.

After submitting your registration, you will receive an email with the invoice for the program.

Registration Interpersonal Mindfulness training

8-week online training January-March, 2021