Booking Form

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Please use the booking form below. If you have any further queries about the mindfulness courses, please contact Miro Cansky on 07765 515 662.

For dates and further details, see the upcoming mindfulness courses page.

1. Please give us some details about yourself.

    I'm booking a place on:



    Phone Number

    How did you hear about this course? (Google,
    newsletter, friend)

    What is your main reason for participating in
    the mindfulness course?

    Any previous experience with mindfulness
    meditation or any other type of meditation?

    Do you have any physical, medical or mental
    health condition that we should be aware of?
    (Answering yes does not necessarily exclude
    you from attending the course.)

    Are there any particular stressful elements
    in your life at present? (Significant changes in
    your circumstances, e.g. relationships, work,
    where you live, health).

    Are you aware that participation on the course
    requires approximately 45 minutes of practice
    a day, for 6 days a week for the duration
    of the eight weeks?


    Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) have been found to be effective in promoting health and wellbeing for individuals facing a wide variety of challenges. However, these courses may not be an appropriate choice for you at this time.

    This may be the case if you are dealing with:

    • An acute medical condition requiring frequent intervention or treatment.
    • Substance abuse or dependence (currently or within the past year).
    • Psychological issues including: suicidality, psychosis, trauma, severe depression or other major psychiatric diagnosis.

    MBSR/MBCT is not psychotherapy, and is not a substitute for mental health counselling, medical care or substance abuse treatment. You will have an opportunity to talk, one on one, with a course instructor prior to signing up for the course and it is important that you discuss any questions or concerns you have regarding your specific situation. We realise the personal nature of this information and we hold your responses in confidence. Please note that final decisions about participation in the course will be made by the course teachers. If it is decided that, at this point, we do not recommend the course, your deposit will be returned.


    I have read the above information, I have also read the terms and conditions and understand that my application will be considered only after paying a deposit of £90. I am aware that benefiting fully from the course requires regular attendance on the sessions and regular home practice.

    Please tick the box
    and click the 'Submit' button below

    3. Please Pay Your Deposit

    The full price of the course is £220 – this fee includes eight mindfulness sessions, a set of CDs or MP3s with guided meditation, a Mindfulness Course Manual, and e-mail or phone contact support with your home practice (if needed).

    After submitting your booking form, please use the secure Paypal payment button below to pay a deposit of £90. Your booking will be considered complete upon receiving your deposit. Alternatively, you can make cheques payable to ‘Miro Cansky’ and send them to:

    Miro Cansky
    13 Clifton Vale
    BS8 4PT

    We will then confirm the receipt of your application and the deposit and if you wish, we can arrange a short telephone conversation, to give you an opportunity to ask any questions about the course. Once your booking for the course is accepted, the deposit is non-refundable and the balance of payment is due on the first session of the course. If, after paying your deposit, you realise that you cannot attend the course, we can arrange transferring the payment to a later course.

    Pay Securely With Paypal (£90)