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SUNDAY Spring
2025
(with Timezones in Asia)
Imagine MBSR Registration
April 13 through June 8
starting 2 PM CET-SAST / 5:30 PM IT
6 AM MT / 8 AM ET
(
Time Zone Converter)
All Day Retreat for All Classes = Saturday May 31
Instructors Barbora Kostrunkova and Stacy Stoltz
When you hit SEND, you will be asked
next
to pay your non-refundable $90 Registration Fee. We would also like to reiterate that we operate on a gift-giving
basis. Towards the end of the program we will ask you to consider a donation to Imagine.
This video on our Donations page
explains our philosophy. You will also receive
more information during the Information
Session.
First Name
Last Name
Email
International Phone Number
City and Country (International Sign Ups) OR City and State (US Sign Ups only)
How did you hear about Imagine's Live Online MBSR Program?
Year of Birth
Emergency Contact Name and Phone Number
Are you currently seeing a therapist?
Our program includes "Meditation in Motion" (based on gently Hatha Yoga and Qigong). Please list any physical limitations or write None.
Do you have any psychological or emotional issues that are not stabilized?
What's important to you?
How does stress or pain affect your daily life?
Please list personal goals for taking this MBSR program.
Please check any that apply to you.
*
Required
Headaches
Aching joints and/or muscles
Respiratory difficulties
Digestive difficulties
Rapid or skipped heartbeats
Nervousness or anxiety
Lack of concentration or focus
Depressed
Difficulty relaxing
Considering suicide
Feeling desperation or hopelessness
Grieving
Difficulties with anger
Fatigue or weariness
Difficulty sleeping
Current substance abuse
Extreme hearing loss
None of the Above
Please list any of the above that are severe - if applicable.
Please use this space for comments and/or suggestions. (This is optional.)
I have read and understand these risks.
Checking this box and adding my name and today's date below signifies that I agree with the above.
I want to subscribe to the newsletter.
Register
Thank you for registering.
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