Application Form

Terms & Conditions
We never share your information. However, if you would like to subscribe to our newsletter to receive information about our forthcoming courses and events, please tick this box.

I confirm by ticking this box that I have read the course description and relevant information sheets and understand and agree to the payment and cancellation arrangements of the Mindfulness Network.

About you










Please provide emergency contact details below:



Please provide further information:
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.

Please tick to confirm you have read the above information

Please provide further details of where to send your invoice:


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:


Please provide further information:
It is important to us to be able to fully welcome everyone. If you have any specific needs relating to disability or health conditions, including difficulties with hearing, please contact us before the event so that we can discuss ways that we can support you during the event.
Please read these guidelines before completing the following question:
Silent meditation retreats can be very supportive to wellbeing; however, due to their intensive nature, it is advised that they are undertaken at a time of relative stability in psychological health. If you have recently (within the past year) experienced significant trauma or psychiatric illness, or if you are currently experiencing acute emotional distress such as serious depression or anxiety, this may not be the best time for you to attend a silent retreat and contexts offering more interpersonal support are likely to be more helpful.

If you are currently under the care of a mental health professional, please discuss your attendance with them. You should be in a relatively stable period of mental well-being and have adequate psychological resilience to attend an intensive silent retreat.

Please answer the following question with these guidelines in mind. If there is any uncertainty about whether this is a good time for you to attend this retreat, we can organise a time for you to discuss this with our retreat lead. If you would like to organise a time to speak, please contact us on: retreats@mindfulness-network.org

Please provide further information:

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

Your booking information

If you prefer to use your own term, please specify here:

I cannot eat:

Other information