Mindful-Spa: 2-Day Self-Compassion & Mindfulness Course by Miyen Low

Mindful-Spa: 2-Day Self-Compassion & Mindfulness

13 & 14 April 2019 | 9am - 5pm | C-27-05, Level 7, Block C, 3 Two Square, No. 2, Jalan 19/1, 46300 Petaling Jaya,Selangor.
Who can participate in this Mindful-Spa Course?

1. Mindful-Spa is designed for everyone but especially useful for those in helping professions, for cultivating emotional resilience and self-care and preventing burnout, one of the vulnerability/risk faced by those in medical, allied health, mental health and HR professions.

2. This course is first and foremost for self-care, personal growth and development. This course is still too short, to learn and acquire the relevant skills to teach others.

3. If you have experienced recent trauma or suffered from mood swings, please discuss your situation in more details with the teacher at miyenlow@mindful-spa.com

4. There is no pre-requisite for this course to know how to meditate or to observe silence. Other than 1-2 exercises where it is encouraged to have short silence-practice, there is not a lot of silence in Mindful-Spa course.

Registration Form: Mindful-Spa: 2-Day Self-Compassion & Mindfulness

Please fill in your information
Full Name *
Please provide the name as in your Identity card/ passport. This name will be shown in your attendance certificate.
Gender *

Female Male
E-mail *

Mobile Phone *

-
Occupation/Profession *
Organization that you are currently at *
Why are you interested in participating in this course? *
Are there any stressful life circumstances that might make this course difficult for you at this time (e.g., recent loss of a loved one or job, substance use, fasting). *
Provide us with the name and mobile phone number of an emergency contact in the unlikely event of a psychological emergency. *
Do you have any illness or limitation or taking mediation that may impact your participation in the course? Yes/No. If yes, please describe *
Is there anything else that might be helpful for the teacher to know at this time?
I would like to register *

Early Bird Individual [RM530 per person] before 13 March 2019 Group of 3 or more [RM500 per person] Individual [RM580 per person] 13 March 2019 onward
Fee including handout, certificate of attendance & tea breaks. Lunch not provided.
From where you get to know this workshop? *

Email (colleagues and friends) Facebook Website WhatsApp / Personal text Friends
Would you like to add more participant(s)?
Second Participant's Information
Full Name *
Gender *

Female Male
E-mail *
Mobile Phone *

-
Occupation/Profession *
Organization that you are currently at *
Why are you interested in participating in this course? *
Are there any stressful life circumstances that might make this course difficult for you at this time (e.g., recent loss of a loved one or job, substance use, fasting). *
Provide us with the name and mobile phone number of an emergency contact in the unlikely event of a psychological emergency. *
Do you have any illness or limitation or taking mediation that may impact your participation in the course? Yes/No. If yes, please describe *
Is there anything else that might be helpful for the teacher to know at this time?
Third Participant's Information
Full Name *
Gender *

Female Male
E-mail *
Mobile Phone *

-
Occupation/Profession *
Organization that you are currently at *
Why are you interested in participating in this course? *
Are there any stressful life circumstances that might make this course difficult for you at this time (e.g., recent loss of a loved one or job, substance use, fasting). *
Provide us with the name and mobile phone number of an emergency contact in the unlikely event of a psychological emergency. *
Do you have any illness or limitation or taking mediation that may impact your participation in the course? Yes/No. If yes, please describe *
Is there anything else that might be helpful for the teacher to know at this time?
Fourth Participant's Information
Full Name *
Gender *

Female Male
E-mail *
Mobile Phone *

-
Occupation/Profession *
Organization that you are currently at *
Why are you interested in participating in this course? *
Are there any stressful life circumstances that might make this course difficult for you at this time (e.g., recent loss of a loved one or job, substance use, fasting). *
Provide us with the name and mobile phone number of an emergency contact in the unlikely event of a psychological emergency. *
Do you have any illness or limitation or taking mediation that may impact your participation in the course? Yes/No. If yes, please describe *
Is there anything else that might be helpful for the teacher to know at this time?
Fifth Participant's Information
Full Name *
Gender *

Female Male
E-mail *
Mobile Phone *

-
Occupation/Profession *
Organization that you are currently at *
Why are you interested in participating in this course? *
Are there any stressful life circumstances that might make this course difficult for you at this time (e.g., recent loss of a loved one or job, substance use, fasting). *
Provide us with the name and mobile phone number of an emergency contact in the unlikely event of a psychological emergency. *
Do you have any illness or limitation or taking mediation that may impact your participation in the course? Yes/No. If yes, please describe *
Is there anything else that might be helpful for the teacher to know at this time?
For group registration with more than 5 participants, please submit 2 registration forms

The price remains RM500 per participants as long as the submission is in group of 3 and above.

To submit 2 forms, please complete the first form submission with minimum 3 participants and click submit at the bottom of the form. After submission, refresh the page and fill in the form with the details of the other participants.

Thank you.
Terms and Conditions

Registration: Due to limited availability of seats, reservations pending
payment will be automatically released after (notification of CV reviewed) 24 hours unless proof of payment is received. Therefore, please inform us via phone or email, with the program title, once payment is made. Your registration will only be confirmed after we acknowledge receipt of payment. Payments after the early bird date must be in full fees regardless of reservation made during the early bird period. Fees for group registrations are to be made collectively.

Cancellation/Refund Policy: Any cancellation done after the confirmation for
registration is NOT refundable. However, the confirmed seat may be
transferable to a third party once it is made known to InPsych.

Organizers reserve the right to postpone or cancel the program without prior
notice. In the event of cancellation by the organizers, a full refund will be
provided.

For further inquiries, please email us at inquiry@inpsych.com.my with "MSC1904" or contact us at 017-331 1216.

Informed Consent: I understand that my participation in this Mindful-Spa course is entirely voluntary and I am free to withdraw at any time during the course, except the fee is non-refundable. At the present time, I am planning to participate in the entire course. I am also aware that by clicking the "submit" button at the bottom, it means that I have understood and I am agreeable with the terms and conditions, as well as the informed consent.
I have read the terms and conditions *

I accept
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Mindful-Spa: 2-Day Self-Compassion & Mindfulness

Registration Form: Mindful-Spa: 2-Day Self-Compassion & Mindfulness