Register

The MBCT Course fee is $650.

Tuition includes:

8 two-hour class sessions - Wednesdays 6:30 - 8:30 p.m.
One half-day Silent Retreat

* Please purchase the paperback copy of The Mindful Way Workbook by Teasdale, Williams and Segal prior to the first class. Do not purchase the Kindle version.

To be considered for acceptance into the program, please complete the online registration form below. Once accepted, you will receive an email from [email protected] with payment instructions and class details. Due to limited space, your registration is not complete, and your space in class is not secured, until you have paid in full for the entire course.

A 15 minute online meeting with Dr. Hauser is required prior to the first class.

PARTICIPANT INFORMATION, AGREEMENT, AND REGISTRATION FORM

Please read and complete all information requested

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Marital Status *

Student? *

Birth Date *

Age *

Occupation *

Home Phone *

Cell Phone *

Work Phone *

Message at Home? *

Message on Cell? *

Message at Work? *

please indicate if we may leave message for each number

Briefly state your reasons for taking the MBCT course: *

By participating in the MBCT course, I hope to: *

In registering for this MBCT course, it is my intention to:

Attend eight classes of instruction *

Complete homework assignments (approx. 45-60 minutes per day for eight weeks) *

Attend Silent Retreat *

Were you referred by a Mental Health clinician or your Primary Care clinician? *

Yes No

If yes, please list their name and phone number: *

Please check yes so we may contact your clinician: *

Yes

Submit Registration