Registration

Registration form Mindfulness Teacher-training program
Czech Republic 2018/2019

All information you fill in on this form will be handled confidentially and not be passed on to other parties.

Step 1 of 2

Name *

First

Last

Email *

Street + number *

Postal code *

City *

Country *

Phone [mobile] *

Phone [home]

Birthdate *//

Profession / current job: *

What education have you attended in your life? (please mention the most important ones for you) *