One Love Registration Form

Name*

First NameLast Name

Date of Birth*

DayMonthYear

E-mail*

Phone/Mobile Number*

Area CodePhone Number

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Select your mindfulness package or a single course*

What is your motivation for starting with mindfulness?*

For MBCL only - Describe your previous experience with mindfulness?

Do you have any physical or mental health issues or concerns that would be useful for the trainer to know about?*

For Retreat Day only - Do you have any special dietary requirements or allergies? (Please note NEEDS rather than preferences)

Please complete this box if you have chosen for the Silent Retreat Day

Is there anything you would like the trainer to know? Do you have any questions?

TERMS AND CONDITIONS
Registration and payment of Training Courses

One Love Mindfulness will send a confirmation of receipt on receiving the completed registration form.
The registration for a training course is definitive after payment is received.

The following points apply to the Mindfulness Training:

Order of registrations
If the maximum number of registrations for the training is exceeded, One Love Mindfulness uses the time at which the payment was received as a selection criterion.

Cancellation
Cancellation of the registration is possible under the following conditions:
For cancellations shorter than 1 month, the participant owes 50% of the costs of the training.
In case of cancellation less than 1 week before the start of the training, the participant will owe the full costs.
One Love Mindfulness has the right to postpone one or more training days, stating the reasons, in the event of compelling or unforeseen circumstances, and to cancel the entire training if there are too few registrations. If a training is cancelled due to a lack of registrations, the participants will be informed at least 1 week before the start of the training. Of course, payment will be refunded in these cases. One Love Mindfulness reimburses the amount of the course costs to a maximum.

Disclaimer of Liability
By submitting this form you indicate that you are aware that the mindfulness training as given by One Love Mindfulness is aimed at a more attentive and conscious life and dealing with stress and pain differently.
This explicitly concerns training and not (replacement for) therapy or therapeutic treatment. If you are being treated by a professional care provider, then permission from this care provider is a condition for participation in this training. Our institute is not equipped for mental health problems and/or acute urgent crisis situations.

Background
The general conditions are intended to provide clarity about agreements between trainer and participant.