Mindful Living

Day of Mindfulness Registration

Name:
Address:
Address 2:
City:
State/Province:
Zip/Postal Code:
Phone- Work:
Phone- Home:
Phone- Cell:
Email:
How did you find out about the Day of Mindfulness?

What brings you to the Day of Mindfulness? In other words, why are you considering it?

Please provide a brief description of your experience with mindfulness meditation.

Please select the Day of Mindfulness session you wish to register for:
	Saturday, 2/27/10 Saturday, 4/24/10 Saturday, 7/31/10 Saturday, 10/09/10

Once you submit this form, you should receive a confirmation of your registration within 4 business days. We process these registrations manually. If you do not receive your confirmation or you are registering 2 days before the event, please call (713)522-7032 or email us to confirm your spot.