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Introduction to Mindfulness (MBSR) Course Registration Form
Mindfulness-Based Stress Reduction (MBSR)
Contact Information
Name
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Address
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Course selection
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#613 (June 6 to Aug. 1, 2023) in person
Do you need the course text?
*
The course text is "Full Catastrophe Living " by Jon Kabat-Zinn; The text will be available at the first class.
Yes, please provide me with the book.
No, I have (or will obtain) my own copy of the book.
Amount
*
$350
-
Full course fee (includes book)
$335
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Course fee only (no book)
$175
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Payment plan (2 monthly payments)
$87.50
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Payment plan (4 bi-monthly payments)
$
Payment plan schedule
One Time
Monthly
Bi-Monthly
Date of last payment
(mm/dd/yyyy)
COVID-19 Protocols
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The following guidelines will be in effect for people entering the Center: 1) Full COVID-19 vaccination (including booster) is strongly recommended. 2) Masks are optional. 3) Please do not visit if you are feeling ill. Please check the box below to acknowledge.
I have received and agree to the COVID guidelines.
How did you learn of this course?
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Google
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If other, please specify
Is there someone we can thank for referring you?
