mindfulness course application 正念冥想课程申请 Name 姓名(required) Email 邮箱(required) Phone 电话(required) WeChat ID (if you check it regularly) 微信账号(如果您经常查收信息) Do you check email regularly? 您是否经常查收邮件呢?(required) Yes是 No否 Emergency contact info (Name, cell phone, relationship to you). 紧急联系人 (姓名、电话、与你关系)(required) What draws you to this mindfulness course? Do you have any concerns about attending? 是什么原因促使您来参加这样的正念冥想课程?参加这样的课程是否有让你担心的地方?(required) I would like to register for the 我想注册: (required) 6 week course (May 6 - June 10) 六周课程(5月6日-6月10日) 8 week course (May 6-June 24) 八周课程(5月6日-6月24日) Many courses have a day-long “retreat” session toward the end of the course. This allows us to go deeper in the practice and is usually a major turning point for participants in establishing their foundations. Would you be able to attend a day-long session toward the end of the course, e.g. June 3 or 10? 很多课程在接近尾声阶段时都有为期一天的巩固练习。这样的活动能让大家进行深度练习,而且这也通常是参与者在正念冥想练习中打下基础的关键时刻。您是否能在课程快结束时参加这样一整天的练习?时间大概在6月3日或者10日。 Yes No Maybe Any health issues we should be aware of, including any condition that will affect your ability to sit for extended periods, stand, lie down, or walk? 您是否有一些我们需要注意的健康问题?比如会影响长期坐立,站立或者走路的身体健康问题? IMPORTANT NOTE: This course may not be suitable for those with paranoia or schizophrenia. If you have concerns around your mental health, please discuss with your doctor and confirm the suitability of this course for you before the course starts. 重要提示:这个课程不太适合有偏执或者精神分裂症的人群。如果您对自己健康问题存在担心的话,我们建议您在课程开始前跟您的医生咨询确认. Please read the above statement and choose one 请仔细阅读以上描述并且选择以下一项:(required) I have to confirm with my doctor before beginning the course 我会在课程开始前跟我的医生确认 I understand the above and do not have any related concerns 我理解以上描述并且完全没有任何相关的担心 I understand that while this course can promote emotional well-being, it is not a substitute for treatment from a professional doctor, counsellor or psychotherapist. I accept the risk of unresolved issues surfacing, and take responsibility for finding professional help if necessary. 我知道虽然冥想这个课程可以帮助我们找到生活的幸福感,也可以提升生活水平,但是不等同于专业医生,咨询师或者心理医生的治疗。若在课程过程中发现有隐藏的或是未解决的心理问题等等出现,有必要的话我会自己主动寻求专业人事的帮助与治疗。 (required) I agree我同意 I do not agree我不同意 To get the most out of the course, I understand I will be encouraged to try meditating daily throughout the course (ideally 20-45 min a day), and to attend all classes (except in cases of illness or other exceptions).为了能够最大化地从课程中受益,我清楚我自己应该每天试着冥想练习20-45分钟,并且积极参加每节练习课(除非因为生病或者其它特别重要的原因) (required) I agree to do my best to meditate daily and to attend the classes 我同意每天会尽量做正念冥想练习并且参加每节练习课 I do not agree to meditate daily and attend the classes 我不同意每天做正念冥想练习并且参加每节练习课 Amount I intend to donate (per week)每周我打算给的金额: Amount I intend to donate (total for the course)全部课程我打算给的金额:(required) How I will give my RMB500 deposit for registration我该如何支付课程预交款500元: WeChat transfer微信转账 Bank transfer 银行转账 Paypal支付 How I will contribute the Pay What You Want course fees“随心交”费用我应该如何支付: WeChat transfer微信转账 Bank transfer银行转账 Paypal支付 Cash 现金支付 How did you find out about the course?您是通过何种途径了解到该课程?(required) Additional comments, questions or suggestions 附加评论,问题或者建议: Please note that your registration will not be confirmed until your deposit has been received. You may email info [at] paulinehwang.ca, call me at 18951825064 or WeChat me (ID: pozenator) to confirm receipt, after you send the deposit. If you cannot give the deposit for financial reasons, please contact me to make alternative arrangements. As described here, the deposit and any advance donations can be refunded, if you cancel at least 2 weeks before the course starts.您需要在预交款支付成功后才会报名成功。您可以给我邮件 info@paulinehwang.ca或者打电话给我18951825064 或者微信给我留言(账号是pozenator)来跟我确认您是否缴费成功。如果您因为经济问题不能缴纳费用的话,请跟我联系。如果您在课程开始至少2周以前联系取消的话,我们会返还您的预交款以及额外的费用。 Submit Δ Like this:Like Loading...