Retreat: Mindfulness and Self-Compassion (in-person)
Application for a waiting list place.

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 Terms & Conditions of the Mindfulness Network.

About you

Title:
Forename:
Surname:
Address:
Town/City:
County:
Postcode:
Country:
Phone:
Email:

Please provide emergency contact details below:
Name of contact:
Relationship to you:
Phone number:

I am a Mindfulness Network Associate:

Where did you find out about this event?

Please provide further information:

Your Mindfulness experience and practice

Please list and date prior mindfulness courses, retreats and teacher training that you have attended to demonstrate that you meet the pre-requisites for this event (please check the requirements to attend in the description of the event)

Are you currently teaching any Mindfulness-based 8-week courses?

If you would like to provide any other information about your engagement with mindfulness, please do so here.

Course fees

Please select the fee that you're paying

Is your employer or a company/organisation paying your fee?

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: Organisation name:

Address for invoice to be sent:

Postcode:

Contact name:

Contact email address:

Contact phone number:

Do you have a purchase order number - if you are working within the NHS, this is usually necessary:

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:

Do you have any physical illness or other limitation that may make hearing, sitting, or standing difficult?

Please provide further information:

Are you currently taking any medication?

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

Do you have any mental or physical health issues or concerns, or have you experienced recent challenging life events that would be useful for the trainers to know about?

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.

In order to best support you, it would be helpful to know if you have ever experienced upsetting events that come back in the form of nightmares, flashbacks, thoughts you can’t get rid of. If you have had experiences like this, one of our teachers will be in touch to provide more information about what to expect from the retreat and sources of support available during the retreat. Have you had any experiences like this?

Your booking information

To help us with organising accommodation and room allocation, please could you tell us your gender:

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

Residential training venues often have shared bathrooms, including for single rooms. Rooms will be allocated by health need priority and then on a first-come-first-served basis from receipt of the booking deposit. Please let us know if you have any specific needs that we need to be aware of:

All meals will be vegetarian. Please note, we are not able to cater for individual preferences or tastes, only for essential dietary requirements.
Do you require a vegan diet?
Do you have any specific dietary requirements, related to a medical condition or a food allergy, that we need to be aware of?

I cannot eat:

Other information

Please provide any other information you would like to pass onto the admin team or teachers in connection with this application.

The Mindfulness Network

Application Form

Retreat: Mindfulness and Self-Compassion (in-person)
Application for a waiting list place.

GET TO KNOW US

T&Cs

READ OUR BLOG

The Mindfulness Network

Application Form

Retreat: Mindfulness and Self-Compassion (in-person) Application for a waiting list place.

GET TO KNOW US

T&Cs

READ OUR BLOG

Retreat: Mindfulness and Self-Compassion (in-person)
Application for a waiting list place.