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.
Email address *
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
Submit
Never submit passwords through Google Forms.
This form was created inside of Centre for Mindfulness Studies. Report Abuse