Tuesday evenings April-May MBSR

Upcoming MBSR program in North Vancouver

Tuesday evening MBSR program starting April 4th, 2017:

There program is now FULL. Please see the June program dates.

Participation in this MBSR program involves meeting for nine sessions, plus, an info/orientation session. Here is the breakdown of hours:

1. One info/orientation session, FREE and open to all (1.5 hrs)
2. Eight evening sessions (2.5 hrs with exception to first & last sessions that are 3 hrs).
3. One All-Day session (7 hrs).

All MBSR participants are required to attend the info/orientation session (free and open to all). The total hours that you will be getting, including the info session, are 29.50. Please see detailed schedule/location below.

A safe environment will be created to systematically explore the use of mindfulness to deal with pain, illness, and the demands of daily life. This will include guided instructions, short lectures, and space for group sharing and questions.

The program requires a commitment to attend the sessions and engage in the daily practices given.

Location:

John Braithwaite Community Centre
145 1st St West
North Vancouver, BC V7M 1B1

NOTE: If you are driving, there is plenty of FREE parking in the area (in addition to the paid underground parking lot). If you are using transit, the location is near the SeaBus.

All regular program sessions are held at John Braithwaite Community Centre, North Vancouver, with the exception to the All-Day session. The All-Day session is on May 13, 2017. It will be at Parkgate Community Centre, 3675 Banff Court, North Vancouver. The detailed schedule of dates/locations will be e-mailed to you when you receive your registration confirmation by e-mail.

MBSR Schedule (2017):

Session

Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
All-Day
Session 7
Session 8

Date

Tuesday, April 4
Tuesday, April 11
Tuesday, April 18
Tuesday, April 25
Tuesday, May 2
Tuesday, May 9
Saturday, May 13
Tuesday, May 16
Tuesday, May 23

Time

6:00 pm - 9:00 pm *(Three hour class)
6:00 pm - 8:30 pm
6:00 pm - 8:30 pm
6:00 pm - 8:30 pm
6:00 pm - 8:30 pm
6:00 pm - 8:30 pm
9:30 am - 4:30 pm ** (Extended session)
6:00 pm - 8:30 pm
6:00 pm - 9:00 pm * (Three hour class)

*Please make note of the dates in asterisks as they deviate from the regular schedule.
** All day session will be held on May 13th in Parkgate Rec Center, 3675 Banff Court, North Vancouver.

Info/orientation session:

All MBSR participants are required to attend an info/orientation session. If you are unable to attend the upcoming info/orientation date, please contact me to make alternative arrangement (info@drkasimalmashat.com).

Date	Time	City	Address	Registration status
Tuesday March 28th, 2017	7:00 PM to 8:30 PM	North Vancouver	John Braithwaite Community Centre 145 1st St West	Open

Fee:

$450 (includes MBSR booklet and mindfulness audios)

Helpful Fee Info:

I am a Registered Psychologist with the College of Psychologists of BC. Some Extended Health plans cover Psychologist Services. Otherwise, non-reimbursed Psychologist fees are tax deductible according to Canada Revenue Agency.

Payment method:

INTERAC e-Transfer (preferred), cheque, money order, or cash.

For INTERAC e-Transfer use info@drkasimalmashat.com.

Payment Options:

Applications will be reviewed within two business days of submission. If there is still space in the program and you are accepted, you will receive a confirmation by e-mail of your registration. At that time, a minimum of $50 is due. You can then pay the remaining balance by March 28, 2017. Or, you can just make one payment of $450 upon receiving an e-mail confirmation from me for your registration.

You can also contact me if you need to make a special payment arrangement.

Refund policy:

Refunds for this MBSR program are provided for cancellations made prior to the MBSR session #1 (i.e., before April 4th, 2017), less a $50 processing fee. After that, no refunds will be issued unfortunately. Thank you for your understanding.

How to register:

To be placed on the waiting list for this program, please fill the form below.

The information below is only viewed by me (Dr. Kasim Al-Mashat) and is confidential. As a Registered Psychologist, I adhere to the highest standards of practice.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Which info/orientation session would you like to register in: *

If you have attended one of the previous MBSR info sessions, please indicate when/where. Otherwise, indicate "not applicable". *

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

Is it okay to leave you a voicemail on the phone number you have listed (if needed)? *

Address *

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

Any previous meditation experience? *

Do you have close friend(s) and/or family in the area? *

How is the quality of your sleep? (please describe) *

Do you take prescription medication? (If yes, please list) *

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". *

Have you experienced any of the following in the past (check all that apply): *

Considered and/or attempted suicide. Have urges to harm someone. Have experienced panic attacks. No, I have not experienced any of the above.

Please elaborate on the above question, or indicate "not applicable" if you selected "No". *

Do you have a history of substance abuse? *

If you answered yes to the above question, please describe how often and what type of substance(s). Otherwise, indicate "not applicable". *

What do you consider to be your strengths? (please list at least three) *

Emergency contact name *

Emergency number *

GP and clinic name *

Currently seeing a counsellor or psychologist? *

Method of payment? *

Payment options for the Tuesday MBSR program starting April 4th, 2017: *

Anything else you want me to know: *

Refunds for this MBSR program are provided for cancellations made prior to session #1 (i.e., by Tuesday April 4, 2017), less a $50 processing fee. After that, no refunds will be issued unfortunately. Thank you for your understanding. *

Yes, I have read and agreed to the refund policy

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 me at info@drkasimalmashat.com. Also, please do not send a payment until you receive a confirmation e-mail from me. *

Yes, I understand.

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