Mindfulness Mondays Wellness Program Series 4 Filipino Mindfulness Pre-registration Form

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Warm greetings! 🧘

The Mindfulness Mondays Wellness Program is a series of introductions and small follow-up group sessions on different mindfulness and meditation practices.

This series of events is presented by the UP Department of Philosophy, the UP Diliman Office of the Vice Chancellor for Student Affairs, and the UP Diliman Apeiron Core Group.

In the fourth series of Mindfulness Mondays, we practice Filipino Indigenous Mindfulness with Prof. Carl Lorenz Cervantes. This pre-registration form is only for the introduction proper to be held on November 6, 2023, Monday, 5 PM to 7 PM at the 3rd Floor, Pavilion 1, Wellness Center, CSSP. The event is open to all who will completely fill-out the pre-registration form.

Should you have any questions or concerns about the event, please email mhzosa1@up.edu.ph or mindfulnessmondays.upd@gmail.com. We hope to see you there!

Thank you!

Email *

The organizers will use your personal data for (1) the logistics of the event, and (2) the writing of an academic article intended for publication based on the event. Information gathered from this pre-registration form that will be used for the academic article will be de-identified or anonymized. Your personal data will be handled in accordance with the Data Privacy Act of 2012. *

I consent to the processing of my personal data in accordance with the above terms.

Required

Last Name *

First Name *

Please select all that apply. *

UP Diliman student

Official event partner representative

UP Diliman employee (Faculty, REPS, Staff)

Not affiliated with UP Diliman

Required

What organization(s) are you affiliated with? *

If none, please write "N/A".

Are you amenable to be contacted in the future as a participant for an upcoming research project on mindfulness and meditation? *

Yes

Do you have any question(s) for the resource person? *

Questions will be read during the Q&A session of the event according to time constraints. If you don't have any pre-lecture question(s), please answer "N/A".

Thank you! 🧘

Should you have any questions or concerns about the event, please email mhzosa1@up.edu.ph or mindfulnessmondays.upd@gmail.com. We hope to see you there!

A copy of your responses will be emailed to the address you provided.

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