Mindful Living

Orientation Registration

Name:
Address:
Address 2:
City:
State/Province:
Zip/Postal Code:
Phone- Work:
Phone- Home:
Phone- Cell:
Email:
How did you find out about the class?

What brings you to the mindfulness class? In other words, why are you considering the mindfulness class?

Please indicate the start date and time of the class you are considering.

Please select the Orientation Session you wish to register for:
	Thursday, 1/08/09, from 6:00 - 7:30 pm Thursday, 1/15/09, from 6:00 - 7:30 pm

Upon completion and submission of the orientation registration form, you will be notified immediately that the form has been received. Later you will receive confirmation of your place at the orientation session. If you do not receive either notification, please call 713 522 7032 or email us.

Although all participants are required to attend an orientation session, if you are already certain you want to take the class, you may reserve a place by making a $200 NONREFUNDABLE deposit. To do so, please click here.