FUNDED PLACES

This form is for people who feel they would benefit from joining the 5-week meditation course but are financially unable to pay for themselves. You do not need to share your reasons for this, unless you wish to.

FUNDED PLACE REQUEST FORM

Please fill out the following form if you would like to be considered for a funded place

First Name

Last Name

Address

Phone

Which course would you like a funded place on?

Studio

Zoom

For which start date?

If studio spaces are full, would you be happy to take part in the Zoom meditation course instead?

Yes

If places are full for the date requested, would you like to be considered for the next course?

Yes

If you would like to add any other information use the answer box below

I declare that the info I’ve provided is accurate & complete

Initials

**Please note, funded spaces are limited but every effort is made to accommodate people’s requests.

They are not limited to one per person, so please don’t worry if you have previously had a funded place.

The spaces are fully paid for and are confidential.

Thanks for submitting!

ADDRESS

The Studio for Peace of Mind

100 Howard Street, North Sheilds, NE30 1NA

PHONE

07766 933 216

EMAIL

peaceofmindmeditation@yahoo.com

CONNECT