Cultivating Safe Spaces Within Registration

A four week online mindfulness series with Dharmagiri

Sign in to Google to save your progress. Learn more
Name & Surname (Last name) *
Email address *
Where are you based?  *
Do you currently have a meditation practice? *
Why are you interested in participating in this training? *
Will you be needing financial assistance? *
If you require financial assistance please indicate how much you can afford to contribute towards the course fees. 
(Please indicate N/A if you do not require financial assistance.)
 *
Where did you hear about this four weeks online mindfulness series with Dharmagiri? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of dharmagiri.org.

Does this form look suspicious? Report

Google Forms