Course Registration Form

Thank you for your interest in attending a Mindfulness Program with us. To help us arrange a suitable course for you, please complete the following questions so your information can be added to our waitlist. We run at least 4 Mindfulness courses each term, and will email you with registration details when minimum numbers are reached. 

Arrangements for payments are not needed to be on the Waitlist. We will email you a link for Registration and payment options once minimum numbers are reached. Our fee schedules include ‘need a hand’ and ‘lend a hand’ options, with the maximum cost for 8 weeks groups being $650, and minimum cost through Bulk Billing being $0 to you. If you choose the bulk billing option, you will need to submit a Mental Health Care Plan and referral letter from your GP for Psychological group sessions to be able to complete your registration. There will be opportunity to upload these documents when we contact you for course commencement. 

For now, we only need to know how to contact you and which courses you are interested in! 

Please indicate below your consent for us to collect this information. You can read more about our Management of Personal Information Policy downloaded here. This document describes our responsibility in maintaining your confidentiality, and managing your personal information according to all legal requirements. 

Consent: By checking the box below you acknowledge that you agree to the above conditions for Mindfulness Programs Australasia to record your personal information and use this for your health, safety and ensuring the quality of our programs. 

If you do not give consent, you can contact us and discuss other ways to participate in our courses. 

At any time feel free to contact us on admin@mindfulnessaus.com.au or phone 0488 064 228.

I, (your name in Block Capitals)

Your Details

Thank you for completing this form. You will receive a confirmation email with more information shortly, including your own Mental Health and Wellbeing Prescription to support you while you wait for your course to start.