Registration Information Form

8 Week Mindful Self-Compassion Training

Learn to practice the art of letting go & living with greater ease.
Mindful Self-Compassion is a training program designed to cultivate the skill of self-compassion; it is based on the ground-breaking research of Kristin Neff and the clinical expertise of Christopher Germer.

8 Sunday Mornings Starting February 4, 2018
February 4, 11, 18, 25, March 4, 11, 18, 25
9:00 am - 12:00 pm

Also Includes:
1⁄2 Day Silent Retreat on Sunday, April 8, 2018
9:00 am – 12:00 pm

Location: Radiant Health Yoga Studio
473 Dundas St, Woodstock, Ontario, N4S 1C2

For more information, visit 8 Week Mindful Self-Compassion.

If you would like to register using another payment option, please contact us.

**The Social Workers and Social Service Workers Professional Development Fund provides funding for educational opportunities: $500 per PD activity completed between September 1st, 2017 and August 31st, 2018. For Details & Application Visit: http://www.swsswpdf.org/

Completion of this program fulfills one of the prerequisites for becoming a trained MSC teacher with the Center for Mindful Self-Compassion

Registration Information Form

Registration Process

We are interested in getting to know you and therefore we conduct an intake telephone session as part of the registration process.
Please complete the information below and we will contact you to set up a time for the session. During the session we will also discuss payment options.
The information you are providing will only be read by the teachers. If you feel uncomfortable answering any questions, please note that on the form and we can discuss during the intake session. Leaving a question blank will have no impact on inclusion in this MSC Training.

Thank you,
Patricia Baigent & Cathy Morano

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Name *

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Email *

Best Phone Number to Reach You *

Alternative Phone Number #1 *

Alternative Phone Number #2 *

Best Day for Intake Session Over the Phone *

Best Time for Intake Session Over the Phone *

One of the teachers will contact you over the phone at the time indicated above for a brief, 15-minute intake session to review the following responses and get to know the teachers.

Why are you interested in participating in this training? (Please be advised that the 8 Week Mindful Self-Compassion Training is designed for personal growth and development.) *

Do you have a regular practice of mindfulness and/or meditation? If so, what type and how many years have you been practicing? (It's not necessary to have any experience of meditation prior to this training.) *

How would you describe your physical health? *

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Occupation *

Please let us know if you have any special needs (physical, learning): *

Is there anything else that would be helpful for the instructors to know at this time? *

*Please note if you are seeing a therapist or are receiving some other type of counselling your practitioner may want to learn more about this training. Feel free to show them our website.

I understand that my participation in this training is entirely voluntary and I am free to withdraw at any time.

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8 Week Mindful Self-Compassion Training

Registration Information Form

MINDFUL SELF-COMPASSION.CA

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