Register MBSR

Register for Parent & Child Program

* Indicates required field

Parent Name *

First

Last

Child Name *

First

Last

Email *

Contact Number *

Select One or More: *

I'm registering for the 2019 .b Program (date/time TBC) for Children (aged 11-17) I'm registering for the March 2019 MBSR Program (Friday Evenings) for Parents

Total No. of Children: *

Total No. of Parents: *

Any Prior Experience with Mindfulness: *

Any Other Comments: *

Upon submission of this form, the mindfulness teacher will contact you to complete the registration process or discuss in further details.

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Program details

Register for Parent & Child Program

Connect with us, because we would love to practice mindfulness with you.