Mindful Movement Student Registration

Mindful Movement

Registration Form
Please note: this form is for Breathworks Students. If you would like to take our Mindful Movement Course and are not a student on our mindfulness facilitator or teacher training programme, please follow this link: https://form.jotform.com/232064103035339
Booking Information
Please confirm that you will have completed all aspects of your Stage 1 training when you take this Mindful Movement Course*

Yes (Going Deeper, MFA, MFB and Developing Teaching Skills, or completed TTi prior to 2024)No
Choose your course dates*
OpenCRM Event
Please select the rate you will be paying:

IndividualOrganisationConcessionI would like to pay the Stage 2 BundleI have already paid the Stage 2 Bundle
Which Bundle price will you be paying?

IndividualConcessionOrganisation
Module Combination

All options onlineTTa in person, Mindful Movement OnlineTTa online, Mindful Movement in personBoth modules in-person
How would you like to pay your Stage 2 Bundle?

Invoice (25% deposit to secure place, balance of payment paid before first course)Payment plan (6 equal payments over 6 months)
BUNDLE OpenCRM Event
If an organisation is paying, please provide invoicing details:
Stage 2 Bundle means paying for all Stage 2 modules at once and receiving a discount of 10%. If you would like to request a payment plan, please let our training team know by email when they confirm your place.
Please tell us some basic information
Full Name*

First NameLast Name
E-mail*
example@example.com
We want to make sure that your Breathworks training is as accessible as possible. If you have any access or communication requirements (eg. related to dyslexia, neurodiversity, physical or mental health conditions, sensory impairment, restricted mobility etc) please give details here:
Contact Type
Should be Empty:

Mindful Movement

Booking Information

Please tell us some basic information