Achtsamer Dialog: Kompaktkurs

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

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 *

Sie erhalten eine separate E-Mail mit der Rechnung für den Kurs.

€ 225,00

Registration:

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: Achtsamer Dialog: Kompaktkurs - 03-11-2025 until 08-12-2025.

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

Registration Achtsamer Dialog: Kompaktkurs

(bitte auf Deutsch ausfüllen !)