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Home
About
About Erin
About Mindfulness
Coaching
Corporate
MBSR
MBSR Program
MBSR Preview
Register for MBSR
What Participants Say
Private MBSR Group
Community
Take A Pause
The Big Sit
nian
Register for Parent & Child Program
*
Indicates required field
Parent Name
*
First
Last
Name of One of the Parents to Child
Child Name
*
First
Last
Name of one of your children enrolling in the .b program
Email
*
Please enter a valid email address for contacting the Parent
Contact Number
*
Please enter a valid contact number for contacting the Parent
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
Check both if you're enrolling for both programs
Total No. of Children:
*
1
2
3
Total No. of Parents:
*
1
2
Any Prior Experience with Mindfulness:
*
Please specify any personal meditation practice or mindfulness courses you had taken before
Any Other Comments:
*
Please tell us anything else you think we should know
Upon submission of this form, the mindfulness teacher will contact you to complete the registration process or discuss in further details.
Submit
Program details
