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Please use the form below to register for the Wednesday evening MBSR program in Reading, MA. Personal information is not shared with others.

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INFORMED CONSENT AGREEMENT

I understand the possible risks and benefits of the mindfulness-based stress reduction program as outlined in the FAQ section of this website, including skill training in relaxation and mindfulness meditation practices, as well as gentle mindful stretching exercises. I understand that if for any reason I am unable or think it unwise to engage in any of these practices and/or exercises either during the weekly sessions or at home, I am under no obligation to engage in these practices and/or exercises, nor will I hold Sunrise Mindfulness, LLC, or Cindy Gittleman, MA, MA, CAGS liable for any injury incurred from these practices and/or exercises.

I understand that it is my responsibility to disclose any physical and/or mental illnesses to the instructor prior to the start of the program, as some illnesses can be exacerbated by participation in the program. I understand that the program is an educational program designed to complement psychological and/or medical treatment, not a substitute for psychological and/or medical treatment. I further understand that it is strongly recommended that I participate in some form of counseling or psychotherapy should I have any current emotional problems.

I understand that I am expected to attend each of the eight (8) weekly sessions, including the extended practice session, and to engage in the home practice assignments for approximately 45-60 minutes each day for the duration of the training program.
 I have read and agree to these terms