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










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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:


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.
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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