The Mindful Edge for Teens (13-19) ~ 6-Session Workshop Waitlist

The Mindful Edge for Teens (13-19) ~ 6-Session Workshop Waitlist

The Mindful Edge™ for Teens is an evidence-based, trauma-sensitive and social and emotional learning informed program. It provides a practical foundation in mindfulness-based life skills and strategies, in 6 experiential 1.5-hour sessions for teens and young adults ages 13-19.

This course is specifically designed for teens who are experiencing the negative impacts of stress and anxiety during this time as well as transitions to high school or post-secondary, and providing effective coping skills to manage life’s challenges.

The program is based on the principles of the MBSR program created by Jon Kabat-Zinn. The Mindful Edge™ combines the practices of mindfulness-based stress reduction with knowledge of brain science, positive psychology, movement and healthy living skills to create a program that benefits teens socially, emotionally, physically and academically.

This program is run by a Marina Heifetz, a Registered Psychologist and Angela Ventrice, an Ontario Certified Teacher and Mindfulness Facilitator

Cost of Program: $350.00
This program is eligible for extended health benefits

NOTE: ENROLMENT IS LIMITED TO 10 CHILDREN. A PRE-GROUP INTERVIEW WILL BE CONDUCTED WITH EACH PARENT TO ENSURE SUITABILITY.

6-Week Schedule Details
Our Winter session has ended. Please add your name to the waitlist for our next session. Ages: Teens, 13-19 yrs
Name Name * First Last
*Please put name as you wish it to apear on your certificate
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Preferred Phone Preferred Phone * - ### - ### ####
What are preferred pronouns? *

What are preferred pronouns? He/him She/her They/them Other Other
Date of Birth Date of Birth * / MM / DD YYYY
Do you have any physical illness or limitation that may impact your participation in the program?

Do you have any physical illness or limitation that may impact your participation in the program? Accessibility Allergies Any other requirements? Any other requirements?
Referral Source: *

Referral Source: Referral from Psychologist Mindfulness Everyday Website Mindfulness Everyday Newsletter Social Media Colleague Other Other
Are you currently in School?

Are you currently in School? Yes No
Have you practiced mindfulness or meditation before? If so, what kind? *
What are you hoping to learn from this course?
Discount code:
Background Information

Please provide the following background information to help your teacher(s) assess if The Mndful Edge will be helpful to you at this time and to support you during the program. This information will only be read by the course instructors. If you feel uncomfortable answering any questions, please note that on the form and we can have a private conversation before the program begins.
Are you currently taking any medication that may affect how you feel during the course? If so, please provide details.
Is there anything else that might be helpful for the instructors to know at this time?
Emergency Contact Person

In case of emergency, the following person should be contacted (to participate in MSC, we need to have your emergency contact).
Your emergency contact person *
Your relationship to the contact person: *
Emergency Contact Person's Phone Number *
Emergency Contact Person's Email: *
Mindfulness Everyday Liability Waiver *

Mindfulness Everyday Liability Waiver I agree

Mindfulness Everyday Liability Waiver
We are committed to the safety and well-being of our participants at all times. We insist that all participants follow safety instructions designed to protect them. Participants must recognize, however, that the risk of injury still exists. By checking the box below, you hereby agree to assume the full risk of any personal injury, loss or damage to property, regardless of severity, arising from their participation in the program, and agree to waive all related claims against Mindfulness Everyday.
I agree that the information I have provided is correct *

I agree that the information I have provided is correct I agree
Please list any helping professionals that you have been involved with in an effort to help your child- provide date, agency and outcome.
Is there a history of self harm, (cutting, eating disorder, suicidal thoughts or attempts?)