Mindfulness + Compassion Autumn Equinox Retreat

Mindfulness + Compassion Certificate Training for Health and End-of-Life Care Professionals

Develop the skills of mindfulness and compassion in mediating suffering, illness and dying while also sustaining well being. 5 weekend over 9 months.
Before submitting registration, please note the module dates. If you need to postpone attendance to a module, you can make it up in the following Cohort. For Retake and Cancellation Policy read here.

Module 1: October 17/18, 2020 (Saturday, Sunday)
Module 2. Nov 21/22, 2020 (Saturday, Sunday)
Module 3: Jan 22/23, 2021 (Friday, Saturday)
Module 4: Mar 26/27, 2021 (Friday, Saturday)
Module 5: June 12/13, 2021 (Saturday, Sunday)

Location: Peter Gilgan Centre for Learning and Research, SickKids Hopsital, Toronto.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email: *Please use the email address best for your personal correspondence. *

Confirmation Email
Phone Number

Area Code Phone Number
How did you hear about this professional training? *
Is accreditation important to your participation in the program? (CME, CEU) *

Yes No
Are you an employee with SickKids Hospital? *

Yes No
Are you attending as part of an interdisciplinary team?

Yes No
What is your Professional Role? Please check all that apply.

RN NP LPN LVN SW RP MD
In what setting do you work? (ex. Hospice, Palliative Care) *
How many years experience do you have? *
Please provide a short description about your interest and intention in enrolling: *
What do you hope to gain from this training personally and professionally? *
Do you consider yourself a Meditator or Mindfulness Practioner? *

Yes No
If yes above, please describe your practice, influences and teachers:
Anything else you would like us to know?
Registration Fee Regular: $1200
SickKids Employees: $900
Deposit for Payment Plan: $200

Payment Options:
1. E-transfer to info@saranainstitute
2. Pay with Paypal below
3. Send a Cheque

If you are attending on scholarship please select either the e-transfer or send a cheque option below.
Please Indicate Payment Option:
prev next ( X )
Pay By Paypal | Regular | M+C Training Cohort 6 $ 1,200.00 CAD

Pay by Payapl | SickKids Employee Rate | M+C Training Cohort 6 $ 900.00 CAD

Send a Cheque - Full Amount or Deposit Free
Please sent a cheque for full amount or $200 deposit to the address provided at the bottom of this form.

Send an E-Transfer Free
Please Send E-Transfer after you register to info@saranainstitute.org for your registration to be completed.

Total $ 0.00 CAD
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
SARANA INSTITUTE MAILING ADDRESS
Sarana Institute, 797481 East Back Line
Holland Centre, ON
N0H 1R0
Should be Empty:

Mindfulness + Compassion Certificate Training for Health and End-of-Life Care Professionals