verder met opleiding en training in mindfulness|info@lotheijke.com

Registration Mindfulness Supervision | Module 2: Advanced

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) *

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

Mindfulness teacher training: please describe the teacher training program(s) you have completed *

What is your motivation for this program? What do you hope to get out of it? *

Do you already have experience in giving supervision? *

Previous training: For this module a basic module in Mindfulness supervision of 3 or more days is required. Please let us know where and when you did this? *

How did you hear about this program? *

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

Additional comments:

Payment * € 495,00

Cancellation policy

In case of cancellation, please notify us asap via info@lotheijke.com . For all cancellations, a E 50 fee applies. Cancellations received up to 8 weeks before the start of the program are entitled to a full refund (minus admin costs; up to 4 weeks before the start, a refund of 50% of the fee. For cancellations 4 weeks or closer before the start no refund is possible. It is possible to have a colleague participate in your place – after previous consultation and agreement from the teachers.

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: Mindfulness Supervision | Module 2: Advanced - 13-06-2024 until 15-06-2024.

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