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.

All dates are for 2021.

Module 1
Saturday January 23
Saturday February 20
Module 2
Saturday March 20
Saturday April 24
Module 3
Saturday May 15
Saturday June 12
Module 4
Saturday July 10
Saturday September 18
Module 5
Saturday October 16
Saturday November 13

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.org
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

PAY BY PAYPAL: SICKKIDS STAFF REGISTRATION FEE $ 995.00 CAD
if you are a staff member with SickKids Hospital and part of the Compassion Champions, please pay here or send an e-transfer or cheque with the instructions below.

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