8 Week course registration

8 Week Mindfulness Practitioner Course

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Name of Participant: *

Phone Number *

Date of Birth: *

Email address: *

How did you hear about this course? *

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If Other please specify: *

What is your experience with Mindfulness? *

I have heard of it before I have practiced meditation I have a regular meditation practice Mindfulness and meditation are a part of life for me

What do you hope to get from this experience? *

I am committed to completing all 8 Weeks! *

Yes I am so excited!

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