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Mindfulness Professional Learning Sessions for Educators Registration Form

Mindfulness Professional Development Training for Educators is designed to improve health and well-being, providing essential self-care tools. Educators can achieve immediate benefits for themselves and also receive support in the implementation of mindfulness skills in their professional life. The programs are customized to fit the timetables of the participants involved.

Please Contact Natanya Mandel for more information: nataya.mandel@mindfulnesseveryday.org

NOTE: Partnership with the TDSB | Approved Vendor with YRDSB Board Approved # V106736.

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Name of School / Organization

Tell us about your school / organization…motto / vision - mission statement / focus / population

School / Organization Full Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Theme/Title of Event/Workshop/Presentation

What are you hoping to get out of the presentation? Can you provide two learning outcomes?

Contact Person Name & Position/Title

Contact Person Email

Cell Phone - Contact Person

Business Phone with Extention

Who is attending the workshop?

Teachers
Administrators
Professional Support Workers
Other

Workshops Details

Number of Participants attending (Our Preferred Size is maximum of 30 per session)

Description of Venue (Preferred chairs in a circle, possibly the Library, or Meeting room with enough space for some movement activities). We also require a PowerPoint projector with sound capability. Our facilitator will supplly a laptop with HDMI connector. If this is not available, please let us know.

Preferred Date / Start Time

Date

Time

Length of Session

Please complete the following so that we can best plan your presentation. The workshop facilitator will contact you to finalize details.

Some
None
Experienced
Mixed

Any questions/ special requests?

Invoicing Details

Please complete the following so that we can send the invoice to the correct person/department.

Invoicing Contact Person Name & Title

will Email Name

Invoicing Contact Person Email

Invoicing Details to be included:

Agreed Fee:

Minimum Price: $850.00

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