4-week Mindfulness Course – Booking Form Fields marked with * are required Full Name* Age* Phone number* Your Email* Please say briefly what has led you to want to take this course.* Would you be able to attend all four scheduled sessions.* Yes No If you cannot attend all four sessions, give details below. * * * IMPORTANT INFORMATION BEFORE BOOKING * * * Attendance at all sessions is highly recommended to derive the most benefit from the course. If you know in advance that you won’t be able to attend all 4 sessions please indicate so on your booking form. One missed session might be ok as long as it is not the first sessions. If you miss the first session you won’t be able to continue with the course so please plan accordingly because there are only 20 places on the course. Please also be aware that the course does require a commitment to practice at home between the sessions. This will take up to 15 minutes of your time for six days each week. Experience and research has shown that the benefits of this kind of training are felt most by those that have been able to make time for this practice. If you have to miss a later session due to unforeseen circumstances, you will be able to contact the facilitator by email to be sent relevant handout and to arrange a time to have a brief catch up on the phone so that know what has been covered in the missed sessions and for you to be able to continue practicing and completing the homework in between sessions. If you miss 2 sessions you would not be able to continue with the course. This is to ensure that your and other participants’ progress is not compromised by the missed sessions. Please check the box below to confirm you have checked your availability and wish to book a place on the course. And will commit to attending all 4 sessions of the course and completing between sessions assignments to gain most benefits from it. * I confirm I have read the important information and I am available to attend and complete the course. This course will help you increase psychological flexibility, personal wellbeing, and groundedness in the present moment. You will develop (or consolidate) skills in mindfulness and establish (or re-connect with) what really matters to you in life.