Boundless Heart: an MSC Retreat EOI/ Waiting list Form

Boundless Heart: an MSC Retreat Expression of Interest/Waiting List form

October 14-17 2027 (Cost $1085) with Dr Adele Stewart and Maggie O'Shea
You can complete this form if the course is full and you would like to be added to the waiting list or if you wish to contact us with any questions. It is quite likely that you will receive a place, so please make a note in your calendar and it would be really appreciated if you notify Adele if you no longer wish to be on the waiting list.

If a place comes up you will be texted and emailed and given 24 hours to register. If we don't hear from you then your place will be offered to the the next person on the waiting list.
Name

Preferred First NameLast Name
E-mail
example@example.com
Mobile Number
Format: 0000000000.
City and State of residence

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you willing to share a room? (With ensuite)
Questions or comments including brief mindfulness or self-compassion experience:
.
Should be Empty: