Mindfulness-Based Stress Reduction (MBSR)
This is the registration form for the MBSR course on-line / in person in Prague.
The course is lead by Jaroslav Chýle, Qualified MBSR Teacher (Center for Mindfulness, University of Massachusetts Medical School), and it is a professional clinical mindfulness training program.
The course involves up to 30 hours in group, including the whole day session on a Saturday, recordings, manual and lifetime opportunity to take part in the whole day sessions if the course is successfully completed. Certificate of attendance is available.
The price: CZK 7900/EUR 300/USD 330 on-line OR CZK 8900/EUR 340/USD 370 in person. Individual discounts for people in need are available.
More info at
Please give your phone number if you have not been to the orientation session yet.
Phone (Czech number)
I register for the MBSR orientation on-line on Thursday, 6-7 pm on:
I will not participate at the orientation session, because
I have already participated
I am not able to participate, but I am seriously interested in taking the MBSR course
I intend to participate at the eight-week MBSR course (please tick your all options):
on-line (Tuesday 6-8 pm)
on-line (Wednesday 10-12am)
Prague (in person)
I have learned about MBSR
from a former participant
from a physician
from a psychologist/psychotherapist
in another training / education
on the internet
in a book
in printed media
Your questions / comments:
Data protection rules
I am providing any and all personal data filled in this form, including my surname, name, email address and phone number ("personal data") voluntarily. My personal data shall be processed only to the extent necessary for the registration and record of potential participants of the MBSR program lead by the data administrator, Jaroslav Chýle, IČ: 492 285 10 (the Administrator) for the purposes of fulfilment of a service contract. My personal data shall be stored by the Administrator in a protected electronic database and they will NOT be accessible to a third party. As a data subject, I have the right to access my personal data and shall I find out or believe that the Administrator carries out the processing of my personal data contrary to the protection of my private and personal life or in violation of the law, my personal data are inaccurate with regard to the purpose of their processing, I have the right to ask the Administrator for explanation, the right to request blocking, correction, amending or liquidation of my personal data.
I hereby acknowledge and accept the above data protection rules.
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