Application Form

Interpersonal Mindfulness Retreat with Frits Koster (online event)
Application for a waiting list place.

Terms & Conditions
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I confirm by ticking this box that I have read the course description and relevant information sheets and understand and agree to the Terms & Conditions of the Mindfulness Network.

About you










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I am a Mindfulness Network Associate:
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Your Mindfulness experience and practice

Course fees


Recognising the administrative overhead of dealing with employers, we will be adding a £50 surcharge if the employer is paying directly; where possible we would recommend that applicants pay themselves and reclaim on expenses to avoid the charge. Responsibility for payment remains with the attendee. Please note: If your employer is paying, a deposit option will not be available, and the full amount will be invoiced.

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Your physical and mental health
It is helpful for us to have some information about you so that we can best meet your needs at the event. Please provide information, if possible, to the following questions:

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Once your application form has been received we will be in contact with you to complete your booking for this event.

Other information