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Coming Home Retreat - An online Autumn Retreat for Mindfulness Teachers/Trainees

City / Town

Firstname

Lastname

Email Address

Mobile Number

Home Address

Emergency Contact Number

Do you have any physical difficulties that make sitting, standing, walking or doing any simple exercises difficult for you?

Do you have any physical difficulties that make sitting, standing, walking or doing any simple exercises difficult for you?
A
B

Do you have any mental or physical health issues or concerns, or have you experienced recent challenging life events that would be useful for the trainers to know about?

Do you have any mental or physical health issues or concerns, or have you experienced recent challenging life events that would be useful for the trainers to know about?
A
B

Are you currently taking any medication?

Are you currently taking any medication?
A
B

Are you happy to work alongside others in breakout rooms?

Are you happy to work alongside others in breakout rooms?
A
B

Is there anything else you think it would be helpful for the instructors to be aware of?

Registration Fee: €80 For Members

Pay Registration Fee

80
Your credit card will be charged once you confirm your payment details

Please click the Register button below after paying in order to submit your responses and complete the registration process. Thank you.