Mindfulness Facilitator Certification: BIPOC Fellowship

* These fields are required

1 Welcome

Please fill out your details and press Continue.

First Name *

Last Name *

Email *

Please be sure your email address is correct.

Confirm Email Address *

Daytime Phone Number *

Send me a reminder if I don't register today!

Continue

2 Price

Pricing reflects a 55% grant funded fellowship ($1870 value). Pay in full or Payment plans for your tuition ($1,530) plus retreats will be accepted with a $250 non-refundable deposit and 10 automatically scheduled equal payments due on or before June 20th. You have four options based on the four retreat attendance rate:

Sorry! Your selection is no longer available.

Select a price.

Sold Out

$1,680.00 – Package Includes: Tuition and 2 Virtual Weekend Retreats$1,680.00 $1,680.00 – Package Includes: Tuition and 2 Virtual Weekend Retreats

Sold Out

$2,030.00 – Package Includes: Tuition and 2 In-Person Weekend Retreats as a Commuter$2,030.00 $2,030.00 – Package Includes: Tuition and 2 In-Person Weekend Retreats as a Commuter

Sold Out

$2,330.00 – Package Includes: Tuition and 2 In-Person Weekend Retreats with a Private Room and Shared Hall Bath$2,330.00 $2,330.00 – Package Includes: Tuition and 2 In-Person Weekend Retreats with a Private Room and Shared Hall Bath

Sold Out

$2,730.00 – Package Includes: Tuition and 2 In-Person Weekend Retreats with a Private Room and Private Bath$2,730.00 $2,730.00 – Package Includes: Tuition and 2 In-Person Weekend Retreats with a Private Room and Private Bath

Continue

3 Participant Details

Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Preferred Name	Name you would like us to call you and use on your name tag
What are your pronouns?	Learn more about why we ask your pronouns here. Ex: She/Her, He/Him, They/Them
Emergency Contact: Name *
Emergency Contact: Phone *
Any dietary requirements or food allergies

Continue

4 Demographics

The following questions are completely optional. All of your individual information will be aggregated anonymously for reporting purposes and to help us understand representation and inclusivity at Copper Beech Institute. We acknowledge that this language is continually evolving, so if there is new/better language for any of these identities that you feel should be included, please contact us at info@copperbeechinstitute.org.

Describe your ethnic group or race:
What is your gender?	Female Male Non-binary Transgender Two Spirit I prefer not to answer
A gender not described above:
What is your sexual orientation?	Asexual Bisexual Heterosexual Homosexual Pansexual I prefer not to answer Other
A sexual orientation not described above:
Do you identify as a person with a disability?	Yes No Prefer not to answer Disability refers to a physical, mental, or emotional condition that substantially limits one or more major life activities.
Are you a current or former member of the U.S. Armed Forces, Reserves or National Guard?	Yes No I prefer not to answer

Continue

5 Agreements

Mindfulness Facilitator Certification Policies *	I acknowledge that I have read the Mindfulness Facilitator Certification Policies in their entirety, and I agree to abide by all policies as outlined under the MFC Policies section.CLICK HERE TO READ THE MINDFULNESS FACILITATOR CERTIFICATION POLICIES
Risk Acknowledgement and General Release *	I accept the Risk Acknowledgement and General ReleaseCLICK HERE TO READ THE RISK ACKNOWLEDGEMENT AND GENERAL RELEASE
Inclement Weather Policy *	I agree to the Inclement Weather Policy.CLICK HERE TO READ THE INCLEMENT WEATHER POLICY
Image Consent *	I acknowledge that I have read and agree to the terms of the "Image Consent" below.PLEASE READ IMAGE CONSENT POLICY HERE: I grant permission to Copper Beech Institute to take photographs and/or record digital media of me for use in promotional materials. These materials might include printed or digital products. I authorize the use of these images and recordings.
Email and Contact Consent *	I consent to my email being shared with facilitator(s) & being contacted by them directly.
How did you hear about Copper Beech Institute? *
How did you hear about this particular program? *

Continue

6 Donate

Please enter your donation amounts below

$	Our Community Canopy As a nonprofit retreat center, our mission is to share the practice of mindfulness with as many people as possible. We are grateful for your generosity in helping make this possible.

Continue

7 Payment

Note: All deposits are non-refundable. Cancellations: On or before February 13, 2025, if needed, participants will have the option to cancel their registration and receive a refund of any amount paid, minus up to a 25% non-refundable deposit of the total program price. On or after February 13, 2025, no refunds are permitted and all program payments must be paid in full prior to 10 days before the program closing.

Discount Code

Sub Total	$0

Taxes	$0

Deposit	$0
	$0 next payment date * last payment amount will be $0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

	You will be asked for payment details in the next step. Click the button below to continue.

Continue