Application Form

CANCELLED: Workshop: Equality Diversity and Inclusion

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










Please provide emergency contact details below:



I am a Mindfulness Network Associate:
Please provide further information:
Your Mindfulness experience and practice
Please confirm which of the following courses you have completed





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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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: