Thank you for your interest in Mindfulness Meditation from Wanakena. The information requested below will: a) add you to the Mindfulness Meditation from Wanakena mailing list; b) if you wish to attend the upcoming workshop referenced, you will see questions about that event [Note: it is limited to 8 people - you will be notified once accepted]; and c) you can register your interest in one of the offerings that can occur in Wanakena at Packbasket Adventures. Great thanks to Donna Landy and Packbasket Adventures!

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* 1. Please enter your full name.

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* 3. Please enter your phone number.

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* 4. Please provide your mailing address.

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* 5. Please indicate your future interest in one of the following offerings for Mindfulness offerings.

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* 6. Are you registering for the Mindfulness Meditation: Befriending Our Mind and Expanding Kindness - May/June 2026?

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* 7. Do you currently have a meditation practice?

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* 8. If yes, how long have you been practicing meditation and how often do you practice? Please list any programs you have attended.

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* 9. What is your curiosity about meditation and what motivates you to sign up for this session?

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* 10. Are you able to commit to 4-90 minute sessions, as outlined in the flyer?

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* 11. This program requires samples of talks I will be giving. Are you ok with your voice being recorded with no video or identifying information? The only listener will be me and my Meditation Instructor from Amsterdam.

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* 12. Will you need any of the following during the sessions? Select all that apply.

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