The following information will be kept private and confidential. Your MBSR Facilitator, Heather Drummond, will be the only person with access to the information that you provide on this form and in the 30-minute online or phone orientation session to be scheduled in March 2020.
Please read through the whole form before sending. Feel free to email me, email@example.com, if you have any questions, or if you would like me to call you, please indicate that below.
Step #1: Please complete the following information:
Step #2: Please register using the secure online portal:
- Go to: https://heatherdrummond.noustalk.com/login
- Select “Register” (top left of screen). Complete the requested information to create an account.
- Payment: You have two options for payment: you can put your credit card information into this secure payment platform and I can send you a payment link OR you can send payment for the MBSR course through eTransfer to firstname.lastname@example.org. You will be provided a receipt for your records.
- To hold your spot, please a pay $100 (non-refundable) deposit. You can also pay the full amount at this time if you wish ($550). Deadline for full payment is March 20, 2020.
Step #3: Online or Phone Orientation (March 2020)
- You will have the opportunity to meet your MBSR facilitator by phone or online (your choice) prior to the start of the program. You will also learn more about the MBSR program, and what to expect. In this orientation, you will be asked personal questions that will help make this experience the most beneficial for you. All information is private and confidential.