{"id":8347,"date":"2024-12-17T03:24:49","date_gmt":"2024-12-17T03:24:49","guid":{"rendered":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/?page_id=8347"},"modified":"2025-04-23T15:10:16","modified_gmt":"2025-04-23T15:10:16","slug":"application-form-for-the-interpersonal-mindfulness-program-impt-teacher-training","status":"publish","type":"page","link":"https:\/\/www.espaciosaludypsicoterapia.com\/formularios\/application-form-for-the-interpersonal-mindfulness-program-impt-teacher-training\/","title":{"rendered":"Application Form for the Interpersonal Mindfulness Program (IMPT) Teacher Training – October 10\u201318, 2025 – Santa Mar\u00eda de Huerta (Soria, Spain)"},"content":{"rendered":"\n
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P<\/strong>ROGRAM<\/a><\/div>\n<\/div>\n\n\n\n
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Course Fee<\/strong><\/strong><\/p>\n\n\n\n

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  • Pre-registration: \u20ac400 before May 30, 2025<\/li>\n\n\n\n
  • Remaining payment of registration (\u20ac1,000) due by July 30, 2025<\/li>\n<\/ul>\n<\/div>\n\n\n\n
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    Cancellation Policy (if the participant cancels):<\/strong><\/strong><\/strong><\/p>\n\n\n\n

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    • Before May 30, 2025: 100% refund minus \u20ac80 for organizational and administrative costs<\/li>\n\n\n\n
    • Before July 30, 2025: 50% refund<\/li>\n\n\n\n
    • After July 30, 2024: No refund (by this date, the major organizational expenses will have been incurred)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n
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      Thank you for completing this online form. We will send you an acknowledgment of receipt as soon as possible. Your application will then be reviewed by the teaching team, and we will respond within 8 to 10 days.<\/em><\/h2>\n\n\n\n

      *(This application may take more than ten minutes to complete.)<\/p>\n\n\n\n

      * Indicates that the question is mandatory<\/p>\n\n\n\n

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        <\/ul><\/div>\n
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        \n<\/fieldset>\n
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        Fields marked with * are required\n\t<\/p>\n\t

        PERSONAL INFORMATION<\/strong>\n\t<\/p>\n\t

        First Name* <\/span>\n\t<\/p>\n\t

        Last Name* <\/span>\n\t<\/p>\n\t

        Address (street, avenue, square)* <\/span>\n\t<\/p>\n\t

        Municipality* <\/span>\n\t<\/p>\n\t

        City* <\/span>\n\t<\/p>\n\t

        Postal Code* <\/span>\n\t<\/p>\n\t

        Country* <\/span>\n\t<\/p>\n\t

        Phone* <\/span>\n\t<\/p>\n\t

        Email* <\/span>\n\t<\/p>\n\t

        Emergency Contact Phone* <\/span>\n\t<\/p>\n\t

        Native Language (You can mark more than one option):\n\t<\/p>\n\t

        Spanish<\/span><\/span>English<\/span><\/span>I am not a native English speaker but I can understand and express myself in English<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t

        Do you have any physical or mental conditions that might affect your participation in the course?*\n\t<\/p>\n\t

        Yes<\/span><\/span>No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t

        Please describe: