Mindfulness + Compassion Autumn Equinox Retreat

Registration for M+C Cohort 6

Develop the skills of mindfulness and compassion in mediating suffering, illness and dying while also sustaining well being. Online Group Training - 10 sessions 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.

Saturday October 17
Saturday October 31
Saturday November 21
Saturday December 12
Saturday January 23
Saturday February 20
Saturday March 27
Saturday April 24
Saturday May 15
Saturday June 12

Approx 9 am - 3:30 pm EST

All Live Sessions Take place via Zoom and will be recorded.
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
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:
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Pay By Paypal | M+C Training Cohort 6 $ 1,200.00 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
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SARANA INSTITUTE MAILING ADDRESS
Sarana Institute, 797481 East Back Line
Holland Centre, ON
N0H 1R0
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Registration for M+C Cohort 6