Mindfulness + Compassion Professional Training Registration

Registration for the Mindfulness & Compassion Certificate Training

with Sarana Institute
Welcome to the registration page for the Mindfulness & Compassion Certificate Training program. We are so happy that you've chosen to join us. Please feel free to reach out to luke@saranainstitute.org if you have any questions at all relating to applying, we will be more than happy to assist you.

Before submitting registration, please note the module dates available on our website. 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 details including program dates are subject to change and are available on our website.

All Live Sessions take place via Zoom and will be recorded (personal sharing will not be recorded).
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

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

Confirmation Email example@example.com
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 Other
In what setting do you work or volunteer? (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 currently 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 Early Bird (before December 16th): $1195
Registration Fee Regular (after December 16th): $1295
Deposit for Payment Plan: $200

Payment Options:
1. Interac E-transfer to info@saranainstitute.org - Select 'Interac E-Transfer' and then 'Submit Registration' - E-Transfer Password should be: meditation
2. Pay with credit card via PayPal below - Select PayPal and then 'PayPal Checkout'
3. Send a Cheque to our address - Select 'Mail a Cheque' and then 'Submit Registration'

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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PayPal Credit Card for M+C Training 2022 Select this option to pay via PayPal with a credit card or other PayPal payment method. Then, select the PayPal button below.
$ 1,195.00 CAD

PayPal Credit Card: SPECIAL SICKKIDS STAFF 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.
$ 995.00 CAD

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

Interac E-Transfer (Full Amount or Deposit) Please Send E-Transfer after you register to info@saranainstitute.org for your registration to be completed. Password: meditation
Free

My employer is paying for my course fee Please only use this option if your employer is paying for this course directly.
Free

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 the Mindfulness & Compassion Certificate Training