Seminar and Workshops Information Request Form

Please let us know which workshop or seminar you are interested in, and we will send you more information about upcoming dates, pricing, and topics covered.

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1. Your Name*
2. Your E-mail(valid email required)
3. Your Phone Number
4. Can we leave a message on the telephone number you provided?
5. Can leave message?
6. Yes
   No
   
7. Please indicate which seminar or workshop you would like information about
8. Wants info about Choose seminar / workshop Introduction to Mindfulness Mindfulness to Reduce Stress in the Workplace Mindfulness for Parenting Customized workshops for your business Customized workshops for your community *
9. Please include any specific questions or requests you may have
10. Questions/Requests
11. Would you like to receive information about upcoming groups or events at The Mindfulness Clinic?
12. Mailing List
13. Yes
    No

 

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© 2012 The Mindfulness Clinic  

416-847-7118
1-866-848-7118

info@themindfulnessclinic.ca
700 Bay Street, Suite 2200 Toronto, Ontario M5G 1Z6