JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Centre for Mindfulness Studies - Interest List
Use this form to:
1. Add your name to the waiting list for a sold-out course. We will contact you via email if a spot opens up.
2. Express your interest in a course that you want to sign up for but the program dates don't work for you. We will email you when new dates are posted.
*Please note: all of our course offerings are delivered online until further notice.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Telephone Number
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Which course are you interested in?
*
e.g. MBSR Online
Your answer
What is your preferred time(s) of day to take the course?
*
e.g. Evening past 6pm ET
Your answer
What is your preferred day(s) of the week to take the course?
*
e.g. Monday and Wednesday
Your answer
Where are you geographically located?
*
e.g. 'Ontario' or 'California'
Your answer
Any other information you would like us to have.
e.g. facilitator preference (specific name, professional credentials, etc.), preferred season to take the course (winter, spring, etc.)
Your answer
Are you interested in receiving our newsletter?
*
Yes
No
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Centre for Mindfulness Studies.
Report Abuse
Forms