Mindfulness and laughter retreat

About the facilitators:

Dr. Kasim Al-Mashat is a Registered Psychologist, Hatha Yoga, Laughter Yoga, and Mindfulness Based Stress Reduction (MBSR) teacher. He has completed a six month retreat in Southeast Asia, and presented a TEDx talk on mindfulness.

Farah Moolji Nazarali is the Founder of Drishti Point Yoga Podcasts (www.drishtipoint.ca). Farah is dedicated to promoting wisdom teachings that are inclusive and universal and believes that all paths lead us to service and love. She has been teaching yoga classes, Workshops and Retreats for over 10 years.

How to register:

To secure a spot, please fill in the form below! We will get back to you within two business days after you submit the applications.

Please contact us if you have any questions by e-mailing us at: Soaringlifetraining@gmail.com.

We look forward to sharing this retreat with you!

Registration application

To enrol, please fill application form below. Your application will be reviewed and you will be notified of your registration status within two business days.

If your registration form is received after the retreat is class is full, you will be placed on a waiting list.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

What is your date of birth (Day/Month/Year)? *

Address *

How did you hear about this? (Please specify) *

Are there any relevant physical or mental health history that may effect your participation? *

If you answered "Yes" in the above question, please elaborate. Otherwise, indicate "not applicable". *

Have you experienced any recent and significant changes due to: *

Medical/health matters. Psychological matters. None

If applicable please describe any recent significant medical and/or psychological changes. Otherwise, indicate "not applicable". *

Any previous overnight hospitalization? *

If you answered yes to the above question, please elaborate. Otherwise, indicate "not applicable". *

Emergency contact name *

Emergency number *

Method of payment? *

Payment options for this two day Retreat: *

Anything else you want me to know: *

Refunds for this retreat are provided for cancellations made by January 12, 2017, less a $50 processing fee. After that, no refunds will be issued unfortunately. Thank you for your understanding. *

Yes, I have red and agree with the refund policy

Risk and release: I take full responsibility for any risks, injuries or damages, known or unknown, which might be incurred as a result of participating in this retreat, and knowingly, voluntarily and expressly release and discharge all claims against Dr. Kasim Al-Mashat, Soaring Life Training, Farah Moolji Nazarali and The Smiling Yogi resulting from my participation in this retreat. *

Yes, I read/agree with the risk and release.

Please note: If you do not hear back from me within two business days after you submit the application, it means that your submission did not go through. You can double check by e-mailing us at soaringlifetraining@gmail.com *

Yes, I understand.

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