Expression of Interest Name * First Name Last Name Email * Where are you located (City/Country) * Why are you interested in this course? * Have you previously attended a mindfulness or meditation program? * Yes No Do you have any specific goals or hopes for this course? Contribution tier Supporter Rate Standard Rate Concession Rate Do you have any current mental health concerns or circumstances you'd like us to be aware of in supporting your participation? * How did you hear about this course? Would you like to receive occasional updates from the Dhamma Centre (retreats, new courses, teachings)? Yes No Thank you!
